Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.40 / $505.40 / $1,349.99	Facility		$505.40	$505.40	$1,349.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $646.00 / $729.60	Professional		$505.40	$646.00	$729.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $760.00 / $974.58	Facility		$420.00	$760.00	$974.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $760.00	Professional		$200.00	$200.00	$760.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,102.00 / $1,633.47	Facility		$760.00	$1,102.00	$1,633.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.41 / $1,672.00 / $2,343.73	Facility		$1,135.41	$1,672.00	$2,343.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $1,839.20 / $1,983.60	Professional		$380.00	$1,839.20	$1,983.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $988.00 / $1,774.23	Professional		$684.00	$988.00	$1,774.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.60 / $1,064.00 / $1,406.00	Professional		$919.60	$1,064.00	$1,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,330.38	Professional		$319.20	$456.00	$1,330.38