Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $609.66 / $609.66	Facility		$609.66	$609.66	$609.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.32 / $609.66 / $4,234.81	Professional		$602.32	$609.66	$4,234.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.01 / $381.01 / $1,398.31	Facility		$381.01	$381.01	$1,398.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $889.92 / $939.36	Professional		$612.11	$889.92	$939.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $642.72 / $642.72	Facility		$624.36	$642.72	$642.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $840.48	Facility		$624.36	$624.36	$840.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.48 / $840.48 / $1,774.00	Professional		$840.48	$840.48	$1,774.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.80 / $1,530.91 / $1,770.39	Professional		$1,055.80	$1,530.91	$1,770.39
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $814.78	Professional		$612.11	$612.11	$814.78