Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.42 / $590.42 / $590.42	Facility		$590.42	$590.42	$590.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $679.00	Professional		$569.09	$590.42	$679.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $1,022.99 / $2,306.12	Facility		$628.37	$1,022.99	$2,306.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $675.79	Professional		$628.37	$628.37	$675.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.02 / $361.02 / $722.62	Facility		$361.02	$361.02	$722.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.02 / $361.02 / $361.02	Professional		$361.02	$361.02	$361.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $628.37	Facility		$471.24	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $741.00	Professional		$628.37	$628.37	$741.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.62 / $587.89 / $1,016.79	Professional		$454.62	$587.89	$1,016.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $851.30 / $1,025.80	Professional		$27.40	$851.30	$1,025.80
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $625.11 / $758.78	Professional		$592.79	$625.11	$758.78