Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $482.13 / $1,287.82	Facility		$482.13	$482.13	$1,287.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.13 / $630.75 / $696.00	Professional		$482.13	$630.75	$696.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.63 / $725.00 / $929.70	Facility		$441.63	$725.00	$929.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $270.38 / $725.00	Professional		$255.08	$270.38	$725.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,051.25 / $1,558.23	Facility		$725.00	$1,051.25	$1,558.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.50 / $1,595.00 / $2,235.07	Facility		$942.50	$1,595.00	$2,235.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,080.82 / $4,080.82 / $4,080.82	Professional		$4,080.82	$4,080.82	$4,080.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $797.50 / $1,015.00	Professional		$652.50	$797.50	$1,015.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $971.50 / $1,341.25	Professional		$841.00	$971.50	$1,341.25
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $1,317.40	Professional		$304.50	$435.00	$1,317.40