Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.44 / $1,662.62 / $2,967.12	Facility		$622.44	$1,662.62	$2,967.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.44 / $814.32 / $1,076.40	Professional		$622.44	$814.32	$1,076.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.55 / $1,034.28 / $3,238.56	Facility		$609.55	$1,034.28	$3,238.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $374.40 / $1,160.64	Professional		$280.80	$374.40	$1,160.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $1,310.40 / $1,834.56	Facility		$704.34	$1,310.40	$1,834.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.08 / $2,059.19 / $2,597.42	Facility		$496.08	$2,059.19	$2,597.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.36 / $1,075.86 / $2,799.90	Professional		$426.36	$1,075.86	$2,799.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,216.80 / $7,294.23	Professional		$936.00	$1,216.80	$7,294.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.56 / $1,310.40 / $1,731.60	Professional		$1,132.56	$1,310.40	$1,731.60
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,927.60	Professional		$393.12	$561.60	$1,927.60