Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.84 / $895.70 / $1,581.83	Facility		$331.84	$895.70	$1,581.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $459.08 / $557.49	Professional		$114.07	$459.08	$557.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.97 / $551.40 / $1,726.54	Facility		$324.97	$551.40	$1,726.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $199.60 / $979.04	Professional		$149.69	$199.60	$979.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $723.55 / $1,072.50	Facility		$499.00	$723.55	$1,072.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.49 / $784.93 / $1,385.24	Facility		$297.49	$784.93	$1,385.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.61 / $762.13 / $2,808.83	Professional		$227.61	$762.13	$2,808.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $648.70 / $3,889.15	Professional		$449.10	$648.70	$3,889.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $698.60 / $923.15	Professional		$603.79	$698.60	$923.15
United Facility/Professional Facility Modifier Low / Median / High Price $449.10 / $449.10 / $499.00	Facility		$449.10	$449.10	$499.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $906.73	Professional		$209.58	$299.39	$906.73