Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,949.84 / $1,949.84	Facility		$389.05	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $707.95	Professional		$389.05	$512.86	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $1,000.00	Facility		$380.19	$741.31	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $1,258.93	Professional		$288.40	$354.81	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,778.28	Facility		$524.81	$954.99	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $1,737.80	Professional		$295.12	$691.83	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $4,570.88	Professional		$524.81	$758.58	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,258.93	Professional		$588.84	$724.44	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $724.44	Facility		$338.84	$524.81	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $812.83	Professional		$245.47	$389.05	$812.83