Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.87 / $496.87 / $496.87	Facility		$496.87	$496.87	$496.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $496.87 / $508.84	Professional		$478.91	$496.87	$508.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.84 / $873.84 / $3,206.99	Facility		$873.84	$873.84	$3,206.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $538.78 / $568.71	Professional		$498.87	$538.78	$568.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $523.80 / $523.80	Facility		$508.84	$523.80	$523.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.08 / $1,524.08 / $1,762.55	Professional		$1,051.08	$1,524.08	$1,762.55
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $647.49	Professional		$498.87	$498.87	$647.49