Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.09 / $766.09 / $1,896.61	Facility		$766.09	$766.09	$1,896.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $766.09 / $797.04	Professional		$738.40	$766.09	$797.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.67 / $834.55 / $1,830.12	Facility		$498.67	$834.55	$1,830.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $830.70 / $876.85	Professional		$660.00	$830.70	$876.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $807.63 / $1,574.91	Facility		$784.55	$807.63	$1,574.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $1,336.00 / $2,070.00	Professional		$784.55	$1,336.00	$2,070.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.63 / $1,484.88 / $1,620.56	Professional		$1,060.63	$1,484.88	$1,620.56
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $923.00	Professional		$769.17	$769.17	$923.00