Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $483.65	Professional		$449.41	$449.41	$483.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $458.39	Professional		$449.41	$449.41	$458.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $880.84	Facility		$449.41	$449.41	$880.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $423.97 / $449.41	Facility		$423.97	$423.97	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $572.36	Professional		$449.41	$449.41	$572.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.60 / $613.60 / $2,281.00	Professional		$613.60	$613.60	$2,281.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $831.40	Professional		$192.97	$239.19	$831.40
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $1,434.75	Professional		$449.41	$449.41	$1,434.75