Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.03 / $937.66 / $1,673.35	Facility		$351.03	$937.66	$1,673.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $448.69 / $589.73	Professional		$351.03	$448.69	$589.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.77 / $583.29 / $1,826.43	Facility		$343.77	$583.29	$1,826.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $211.15 / $1,035.68	Professional		$133.02	$211.15	$1,035.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $765.41 / $1,134.56	Facility		$527.87	$765.41	$1,134.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.63 / $830.34 / $1,465.19	Facility		$218.63	$830.34	$1,465.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $806.21 / $2,970.53	Professional		$240.76	$806.21	$2,970.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $686.23 / $4,114.93	Professional		$475.08	$686.23	$4,114.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.72 / $739.02 / $976.56	Professional		$638.72	$739.02	$976.56
United Facility/Professional Facility Modifier Low / Median / High Price $319.35 / $319.35 / $319.35	Facility		$319.35	$319.35	$319.35
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $316.72 / $959.19	Professional		$221.71	$316.72	$959.19