Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.18 / $744.93 / $744.93	Facility		$431.18	$744.93	$744.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $744.93 / $762.88	Professional		$718.00	$744.93	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.63 / $897.50 / $1,897.63	Professional		$852.63	$897.50	$1,897.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $785.31 / $785.31	Facility		$762.88	$785.31	$785.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $1,518.00	Professional		$762.88	$762.88	$1,518.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,336.33 / $2,419.77 / $2,549.81	Professional		$2,336.33	$2,419.77	$2,549.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,549.21	Professional		$1,997.50	$1,997.50	$2,549.21