Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.44 / $440.44 / $1,176.48	Facility		$440.44	$440.44	$1,176.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.44 / $562.97 / $635.83	Professional		$440.44	$562.97	$635.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $794.78 / $3,320.00	Facility		$496.74	$794.78	$3,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $2,000.00 / $2,000.00	Professional		$662.32	$2,000.00	$2,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $960.36 / $1,423.52	Facility		$662.32	$960.36	$1,423.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.48 / $1,457.10 / $2,081.17	Facility		$989.48	$1,457.10	$2,081.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $728.55 / $927.25	Professional		$596.09	$728.55	$927.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $887.51 / $1,225.29	Professional		$768.29	$887.51	$1,225.29
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $397.39 / $1,159.39	Professional		$278.17	$397.39	$1,159.39