Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.80 / $400.80 / $1,070.57	Facility		$400.80	$400.80	$1,070.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $524.35 / $578.59	Professional		$400.80	$524.35	$578.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.13 / $602.70 / $772.86	Facility		$253.13	$602.70	$772.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $373.67 / $994.46	Professional		$120.54	$373.67	$994.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $873.92 / $1,295.38	Facility		$602.70	$873.92	$1,295.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.52 / $1,325.94 / $1,858.89	Facility		$783.52	$1,325.94	$1,858.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.43 / $1,458.53 / $3,393.19	Professional		$988.43	$1,458.53	$3,393.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $783.51 / $1,406.55	Professional		$542.42	$783.51	$1,406.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $729.27 / $843.78 / $1,114.99	Professional		$729.27	$843.78	$1,114.99
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $361.62 / $1,055.03	Professional		$253.13	$361.62	$1,055.03