Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.80 / $294.80 / $787.46	Facility		$294.80	$294.80	$787.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $376.81 / $425.58	Professional		$294.80	$376.81	$425.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $443.31 / $568.48	Facility		$23.79	$443.31	$568.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $443.31	Professional		$11.33	$11.33	$443.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $642.79 / $952.81	Facility		$443.31	$642.79	$952.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.28 / $975.28 / $1,392.93	Facility		$662.28	$975.28	$1,392.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $487.64 / $620.63	Professional		$398.98	$487.64	$620.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $514.24 / $594.04 / $820.12	Professional		$514.24	$594.04	$820.12
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $265.99 / $776.01	Professional		$186.19	$265.99	$776.01