Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.09 / $430.60 / $430.60	Facility		$410.09	$430.60	$430.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $430.60 / $451.10	Professional		$410.09	$430.60	$451.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.33 / $469.08 / $469.08	Facility		$432.33	$469.08	$469.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.86 / $378.95 / $432.33	Professional		$345.86	$378.95	$432.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.98 / $453.95 / $635.53	Facility		$440.98	$453.95	$635.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.92 / $419.98 / $839.96	Professional		$322.92	$419.98	$839.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40