Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $553.63	Professional		$461.36	$461.36	$553.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $470.58	Professional		$461.36	$461.36	$470.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $904.27	Facility		$461.36	$461.36	$904.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $435.24 / $461.36	Facility		$435.24	$435.24	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $587.57	Professional		$461.36	$461.36	$587.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.03 / $521.03 / $1,218.00	Professional		$521.03	$521.03	$1,218.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $853.51	Professional		$192.97	$239.19	$853.51
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $1,667.22	Professional		$461.36	$461.36	$1,667.22