Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.61 / $493.61 / $1,318.49	Facility		$493.61	$493.61	$1,318.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $630.92 / $712.58	Professional		$493.61	$630.92	$712.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $806.05 / $1,398.40	Facility		$556.70	$806.05	$1,398.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $699.20 / $1,224.75	Professional		$593.82	$699.20	$1,224.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $1,076.29 / $1,595.36	Facility		$742.27	$1,076.29	$1,595.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.93 / $1,632.99 / $2,288.37	Facility		$1,108.93	$1,632.99	$2,288.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.14 / $1,796.29 / $1,937.32	Professional		$371.14	$1,796.29	$1,937.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $964.95 / $1,732.71	Professional		$668.04	$964.95	$1,732.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $898.15 / $1,039.18 / $1,373.20	Professional		$898.15	$1,039.18	$1,373.20
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $445.36 / $1,356.13	Professional		$311.75	$445.36	$1,356.13