Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Facility		$555.20	$555.20	$555.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $610.72	Professional		$555.20	$555.20	$610.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $566.29	Professional		$555.20	$555.20	$566.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $1,088.19	Facility		$555.20	$555.20	$1,088.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $523.78 / $555.20	Facility		$523.78	$523.78	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $707.10	Professional		$555.20	$555.20	$707.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,930.00 / $2,290.75 / $2,290.75	Professional		$1,930.00	$2,290.75	$2,290.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,027.11	Professional		$192.97	$239.19	$1,027.11
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $2,479.94	Professional		$555.20	$555.20	$2,479.94