Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $625.55 / $1,535.80	Facility		$268.39	$625.55	$1,535.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $343.05 / $450.90	Professional		$232.18	$343.05	$450.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $438.27 / $1,396.42	Facility		$262.83	$438.27	$1,396.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $303.02 / $609.41	Professional		$121.08	$303.02	$609.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $585.21 / $867.42	Facility		$403.59	$585.21	$867.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $634.85 / $1,120.05	Facility		$196.96	$634.85	$1,120.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $461.90 / $1,563.16	Professional		$151.60	$461.90	$1,563.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $553.91 / $3,146.73	Professional		$403.59	$553.91	$3,146.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $488.34 / $565.03 / $746.64	Professional		$488.34	$565.03	$746.64
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $205.83 / $706.48	Professional		$150.68	$205.83	$706.48