Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $398.40 / $398.40	Facility		$398.40	$398.40	$398.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $398.40 / $408.00	Professional		$384.00	$398.40	$408.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $408.00 / $476.79	Professional		$191.25	$408.00	$476.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $420.00 / $420.00	Facility		$408.00	$420.00	$420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $713.00	Professional		$408.00	$408.00	$713.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $556.37	Professional		$480.00	$480.00	$556.37