Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $1,484.28 / $2,761.08	Facility		$656.12	$1,484.28	$2,761.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $721.74	Professional		$656.12	$656.12	$721.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.89 / $656.12 / $669.24	Professional		$218.89	$656.12	$669.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $1,286.00	Facility		$656.12	$656.12	$1,286.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $618.98 / $656.12	Facility		$618.98	$618.98	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $835.63	Professional		$656.12	$656.12	$835.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.00 / $1,417.80 / $1,417.80	Professional		$1,197.00	$1,417.80	$1,417.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,213.83	Professional		$192.97	$239.19	$1,213.83
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $1,533.74	Professional		$656.12	$656.12	$1,533.74