Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.43 / $404.43 / $1,080.30	Facility		$404.43	$404.43	$1,080.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.43 / $516.94 / $583.84	Professional		$404.43	$516.94	$583.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $660.43 / $958.82	Facility		$456.13	$660.43	$958.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.58 / $456.58 / $997.40	Professional		$456.58	$456.58	$997.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $881.85 / $1,307.14	Facility		$608.16	$881.85	$1,307.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.58 / $1,337.97 / $1,875.62	Facility		$908.58	$1,337.97	$1,875.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $668.99 / $851.44	Professional		$547.35	$668.99	$851.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $705.48 / $814.95 / $1,125.10	Professional		$705.48	$814.95	$1,125.10
United Facility/Professional Facility Modifier Low / Median / High Price $547.35 / $547.35 / $547.35	Facility		$547.35	$547.35	$547.35
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $364.90 / $1,064.59	Professional		$255.43	$364.90	$1,064.59