Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.50 / $802.50 / $802.50	Facility		$802.50	$802.50	$802.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $802.50 / $999.67	Professional		$645.36	$802.50	$999.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.54 / $959.51 / $1,577.43	Professional		$704.54	$959.51	$1,577.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $740.27 / $740.27 / $740.27	Professional		$740.27	$740.27	$740.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.71 / $972.59 / $1,732.01	Professional		$686.71	$972.59	$1,732.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.87 / $1,175.03 / $2,277.75	Professional		$903.87	$1,175.03	$2,277.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $571.60 / $675.10 / $675.10	Professional		$571.60	$675.10	$675.10
United Facility/Professional Professional Modifier Low / Median / High Price $413.05 / $636.44 / $1,202.51	Professional		$413.05	$636.44	$1,202.51