Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.84 / $892.70 / $1,294.80	Facility		$347.84	$892.70	$1,294.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $1,279.20 / $1,326.00	Professional		$347.84	$1,279.20	$1,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.18 / $651.15 / $1,358.56	Facility		$370.18	$651.15	$1,358.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $1,300.00 / $1,482.00	Professional		$398.13	$1,300.00	$1,482.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $1,365.00 / $1,911.00	Facility		$1,326.00	$1,365.00	$1,911.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $1,326.00 / $1,326.00	Facility		$356.22	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.87 / $356.22 / $801.20	Professional		$232.87	$356.22	$801.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $455.50 / $782.70	Professional		$27.40	$455.50	$782.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,591.36	Professional		$1,300.00	$1,300.00	$1,591.36