Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.80 / $1,640.47 / $2,897.38	Facility		$607.80	$1,640.47	$2,897.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.80 / $731.20 / $1,021.12	Professional		$607.80	$731.20	$1,021.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.16 / $1,167.71 / $1,777.17	Facility		$689.16	$1,167.71	$1,777.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $846.27 / $1,463.68	Professional		$630.66	$846.27	$1,463.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.79 / $1,279.59 / $1,791.44	Facility		$687.79	$1,279.59	$1,791.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $2,010.80 / $2,536.32	Facility		$484.42	$2,010.80	$2,536.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.60 / $1,227.75 / $2,734.11	Professional		$455.60	$1,227.75	$2,734.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,188.20 / $7,122.88	Professional		$914.00	$1,188.20	$7,122.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.94 / $1,279.59 / $1,690.90	Professional		$1,105.94	$1,279.59	$1,690.90
United Facility/Professional Facility Modifier Low / Median / High Price $822.60 / $822.60 / $914.00	Facility		$822.60	$822.60	$914.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,599.96	Professional		$383.88	$548.40	$1,599.96