Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $366.47	Professional		$349.02	$349.02	$366.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $356.00	Professional		$349.02	$349.02	$356.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $684.08	Facility		$349.02	$349.02	$684.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $329.26 / $349.01	Facility		$329.26	$329.26	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $444.50	Professional		$349.01	$349.01	$444.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $688.50 / $1,238.00	Professional		$550.79	$688.50	$1,238.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $645.67	Professional		$192.97	$239.19	$645.67
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $575.88	Professional		$349.02	$349.02	$575.88