Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.40 / $776.71 / $2,409.19	Facility		$505.40	$776.71	$2,409.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $661.20 / $849.07	Professional		$505.40	$661.20	$849.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $825.30 / $2,629.60	Facility		$494.94	$825.30	$2,629.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $1,217.06	Professional		$304.00	$304.00	$1,217.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,102.00 / $1,633.47	Facility		$760.00	$1,102.00	$1,633.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.37 / $1,235.00 / $2,343.73	Facility		$391.37	$1,235.00	$2,343.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $520.47 / $1,983.60	Professional		$301.41	$520.47	$1,983.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,042.43 / $5,923.49	Professional		$760.00	$1,042.43	$5,923.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.00 / $1,254.00 / $1,254.00	Facility		$1,254.00	$1,254.00	$1,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $456.00 / $1,330.38	Professional		$301.05	$456.00	$1,330.38