Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $688.07	Professional		$655.29	$655.29	$688.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $668.40	Professional		$655.29	$655.29	$668.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $1,284.39	Facility		$655.29	$655.29	$1,284.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $618.21 / $655.29	Facility		$618.21	$618.21	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $834.58	Professional		$655.29	$655.29	$834.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,016.31 / $1,527.00	Professional		$1,016.31	$1,016.31	$1,527.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,212.31	Professional		$192.97	$239.19	$1,212.31
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,081.25	Professional		$655.29	$655.29	$1,081.25