Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $414.49 / $414.49	Facility		$414.49	$414.49	$414.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $414.49 / $424.47	Professional		$399.50	$414.49	$424.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $424.47 / $474.45	Professional		$189.05	$424.47	$474.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $436.96 / $436.96	Facility		$424.47	$436.96	$436.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
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 $499.42 / $499.42 / $664.78	Professional		$499.42	$499.42	$664.78