Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $399.00 / $1,065.78	Facility		$399.00	$399.00	$1,065.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $510.00 / $576.00	Professional		$399.00	$510.00	$576.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $600.00 / $769.41	Facility		$390.74	$600.00	$769.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $480.00 / $990.00	Professional		$240.00	$480.00	$990.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $870.00 / $1,289.57	Facility		$600.00	$870.00	$1,289.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,320.00 / $1,850.56	Facility		$780.00	$1,320.00	$1,850.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,452.00 / $3,377.63	Professional		$984.00	$1,452.00	$3,377.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $780.00 / $1,400.51	Professional		$540.00	$780.00	$1,400.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $840.00 / $1,110.00	Professional		$726.00	$840.00	$1,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $1,050.30	Professional		$252.00	$360.00	$1,050.30