Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.96 / $1,813.19 / $2,021.12	Facility		$388.96	$1,813.19	$2,021.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $508.86 / $845.65	Professional		$388.96	$508.86	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.91 / $747.26 / $4,511.67	Facility		$380.91	$747.26	$4,511.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $288.83 / $1,147.57	Professional		$216.63	$288.83	$1,147.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.33 / $1,825.53 / $2,555.73	Facility		$444.33	$1,825.53	$2,555.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.51 / $1,286.78 / $1,803.52	Facility		$521.51	$1,286.78	$1,803.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.37 / $649.99 / $3,291.96	Professional		$296.37	$649.99	$3,291.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.14 / $1,788.13 / $4,558.22	Professional		$639.14	$1,788.13	$4,558.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.73 / $1,629.94 / $2,412.31	Professional		$707.73	$1,629.94	$2,412.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $438.79 / $1,843.39	Professional		$316.64	$438.79	$1,843.39