Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $277.16 / $740.34	Facility		$277.16	$277.16	$740.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $354.26 / $400.11	Professional		$277.16	$354.26	$400.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.39 / $416.78 / $534.45	Facility		$36.39	$416.78	$534.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $416.78	Professional		$17.32	$17.32	$416.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $604.33 / $895.78	Facility		$416.78	$604.33	$895.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $916.92 / $1,285.24	Facility		$622.66	$916.92	$1,285.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $1,008.61 / $1,087.80	Professional		$208.39	$1,008.61	$1,087.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $541.80 / $972.43	Professional		$375.10	$541.80	$972.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.30 / $583.49 / $771.04	Professional		$504.30	$583.49	$771.04
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $729.57	Professional		$175.05	$250.07	$729.57