Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.51 / $1,593.34 / $2,843.49	Facility		$596.51	$1,593.34	$2,843.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $717.60 / $1,002.14	Professional		$538.20	$717.60	$1,002.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.40 / $986.70 / $3,103.62	Facility		$546.40	$986.70	$3,103.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $358.80 / $1,112.28	Professional		$215.28	$358.80	$1,112.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.99 / $1,255.80 / $1,758.12	Facility		$809.99	$1,255.80	$1,758.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.36 / $1,410.98 / $1,973.40	Facility		$384.36	$1,410.98	$1,973.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.14 / $1,204.97 / $2,682.83	Professional		$447.14	$1,204.97	$2,682.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,166.09 / $6,992.37	Professional		$897.00	$1,166.09	$6,992.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.36 / $1,255.80 / $1,659.45	Professional		$1,085.36	$1,255.80	$1,659.45
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $1,629.94	Professional		$376.74	$538.20	$1,629.94