Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $504.77 / $1,348.31	Facility		$504.77	$504.77	$1,348.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.77 / $645.19 / $728.69	Professional		$504.77	$645.19	$728.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $824.27 / $1,050.00	Facility		$500.00	$824.27	$1,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $530.00 / $1,244.83	Professional		$500.00	$530.00	$1,244.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $1,100.61 / $1,631.43	Facility		$759.05	$1,100.61	$1,631.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.98 / $1,669.91 / $2,340.59	Facility		$1,133.98	$1,669.91	$2,340.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $834.96 / $1,062.67	Professional		$683.15	$834.96	$1,062.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.50 / $1,017.13 / $1,404.24	Professional		$880.50	$1,017.13	$1,404.24
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,379.27	Professional		$318.80	$455.43	$1,379.27