Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.47 / $401.47 / $1,061.94	Facility		$401.47	$401.47	$1,061.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $461.69	Professional		$386.96	$401.47	$461.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.27 / $683.63 / $1,568.08	Facility		$427.27	$683.63	$1,568.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $459.52 / $459.52	Professional		$403.08	$459.52	$459.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $423.24 / $592.53	Facility		$411.15	$423.24	$592.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $427.26	Professional		$411.15	$411.15	$427.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $414.82 / $1,036.09	Professional		$411.15	$414.82	$1,036.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $561.70 / $961.40	Professional		$27.40	$561.70	$961.40
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $419.20 / $503.85	Professional		$403.08	$419.20	$503.85