Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $742.41 / $1,321.19	Facility		$277.16	$742.41	$1,321.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $362.60 / $479.30	Professional		$250.07	$362.60	$479.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.88 / $458.46 / $1,442.06	Facility		$241.88	$458.46	$1,442.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $205.82 / $638.04	Professional		$166.71	$205.82	$638.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $604.33 / $895.78	Facility		$416.78	$604.33	$895.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.37 / $677.28 / $1,301.53	Facility		$415.37	$677.28	$1,301.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $378.47 / $1,306.78	Professional		$208.16	$378.47	$1,306.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.22 / $458.46 / $3,247.32	Professional		$286.22	$458.46	$3,247.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.30 / $583.49 / $771.04	Professional		$504.30	$583.49	$771.04
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $240.12 / $757.33	Professional		$145.13	$240.12	$757.33