Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.80 / $923.68 / $1,648.40	Facility		$345.80	$923.68	$1,648.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $452.40 / $580.94	Professional		$345.80	$452.40	$580.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.64 / $574.60 / $1,799.20	Facility		$338.64	$574.60	$1,799.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $208.00 / $644.79	Professional		$166.40	$208.00	$644.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $754.00 / $1,117.61	Facility		$520.00	$754.00	$1,117.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.57 / $845.00 / $1,443.55	Facility		$518.57	$845.00	$1,443.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.14 / $794.09 / $2,927.67	Professional		$237.14	$794.09	$2,927.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $676.00 / $4,052.37	Professional		$468.00	$676.00	$4,052.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $629.20 / $728.00 / $962.00	Professional		$629.20	$728.00	$962.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $944.89	Professional		$218.40	$312.00	$944.89