Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.22 / $831.31 / $1,483.56	Facility		$311.22	$831.31	$1,483.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $443.66 / $1,500.00	Professional		$280.80	$443.66	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.75 / $508.21 / $1,619.28	Facility		$310.75	$508.21	$1,619.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $419.36 / $790.57	Professional		$140.40	$419.36	$790.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $678.60 / $1,005.87	Facility		$468.00	$678.60	$1,005.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.65 / $824.58 / $1,443.02	Facility		$466.65	$824.58	$1,443.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $402.91 / $1,399.95	Professional		$215.13	$402.91	$1,399.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $641.85 / $3,647.11	Professional		$468.00	$641.85	$3,647.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $655.20 / $865.80	Professional		$566.28	$655.20	$865.80
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $819.23	Professional		$196.56	$280.80	$819.23