Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.32 / $772.82 / $1,379.17	Facility		$289.32	$772.82	$1,379.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.04 / $378.51 / $486.06	Professional		$261.04	$378.51	$486.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.33 / $480.75 / $1,505.34	Facility		$283.33	$480.75	$1,505.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $174.03 / $853.61	Professional		$109.63	$174.03	$853.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $630.85 / $935.09	Facility		$435.07	$630.85	$935.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $684.37 / $1,207.49	Facility		$104.69	$684.37	$1,207.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $664.59 / $2,448.48	Professional		$198.19	$664.59	$2,448.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.56 / $565.59 / $3,391.49	Professional		$391.56	$565.59	$3,391.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $609.10 / $804.88	Professional		$526.42	$609.10	$804.88
United Facility/Professional Facility Modifier Low / Median / High Price $391.56 / $391.56 / $391.56	Facility		$391.56	$391.56	$391.56
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $261.04 / $761.59	Professional		$182.73	$261.04	$761.59