Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $808.55	Professional		$735.05	$735.05	$808.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $751.51	Professional		$735.05	$735.05	$751.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $1,440.70	Facility		$735.05	$735.05	$1,440.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $693.44 / $735.05	Facility		$693.44	$693.44	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $936.14	Professional		$735.05	$735.05	$936.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.83 / $972.83 / $2,735.00	Professional		$972.83	$972.83	$2,735.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,359.83	Professional		$192.97	$239.19	$1,359.83
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,499.50	Professional		$735.05	$735.05	$1,499.50