Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.96 / $388.96 / $554.49	Facility		$388.96	$388.96	$554.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $467.92 / $653.45	Professional		$368.49	$467.92	$653.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.15 / $747.26 / $2,023.75	Facility		$422.15	$747.26	$2,023.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $288.83 / $1,187.45	Professional		$216.63	$288.83	$1,187.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.15 / $818.86 / $1,146.40	Facility		$462.15	$818.86	$1,146.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $1,286.78 / $1,803.52	Facility		$310.00	$1,286.78	$1,803.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $712.84 / $1,686.87	Professional		$292.45	$712.84	$1,686.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $802.02 / $4,558.22	Professional		$584.90	$802.02	$4,558.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.73 / $818.86 / $1,082.07	Professional		$707.73	$818.86	$1,082.07
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $401.17 / $1,023.87	Professional		$245.66	$401.17	$1,023.87