Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $796.35	Professional		$663.63	$663.63	$796.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $676.90	Professional		$663.63	$663.63	$676.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $1,300.71	Facility		$663.63	$663.63	$1,300.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $626.05 / $663.63	Facility		$626.05	$626.05	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $845.18	Professional		$663.63	$663.63	$845.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.92 / $858.92 / $2,105.00	Professional		$858.92	$858.92	$2,105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,227.71	Professional		$192.97	$239.19	$1,227.71
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $999.90	Professional		$663.63	$663.63	$999.90