Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $478.80 / $1,278.94	Facility		$478.80	$478.80	$1,278.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $626.40 / $691.20	Professional		$478.80	$626.40	$691.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.59 / $720.00 / $923.29	Facility		$438.59	$720.00	$923.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $432.00 / $1,015.20	Professional		$228.90	$432.00	$1,015.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,044.00 / $1,547.50	Facility		$720.00	$1,044.00	$1,547.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,584.00 / $2,220.44	Facility		$936.00	$1,584.00	$2,220.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.80 / $1,742.40 / $4,053.52	Professional		$1,180.80	$1,742.40	$4,053.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $936.00 / $1,680.61	Professional		$648.00	$936.00	$1,680.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $871.20 / $1,008.00 / $1,332.00	Professional		$871.20	$1,008.00	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,260.35	Professional		$302.39	$432.00	$1,260.35