Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.93 / $1,200.88 / $5,165.28	Facility		$658.93	$1,200.88	$5,165.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $658.93 / $757.77	Professional		$535.57	$658.93	$757.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.57 / $717.80 / $717.80	Facility		$661.57	$717.80	$717.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $714.50 / $754.20	Professional		$661.57	$714.50	$754.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $694.65 / $1,354.61	Facility		$674.81	$694.65	$1,354.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $925.00 / $1,434.00	Professional		$674.81	$925.00	$1,434.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $683.67 / $957.14 / $1,044.58	Professional		$683.67	$957.14	$1,044.58
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $793.89	Professional		$661.57	$661.57	$793.89