Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $784.85	Professional		$713.50	$713.50	$784.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $727.77	Professional		$713.50	$713.50	$727.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,398.46	Facility		$713.50	$713.50	$1,398.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $713.50	Facility		$673.11	$673.11	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $908.70	Professional		$713.50	$713.50	$908.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.74 / $1,280.74 / $1,889.74	Professional		$1,280.74	$1,280.74	$1,889.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,319.98	Professional		$192.97	$239.19	$1,319.98
United Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $1,901.76 / $1,901.76	Facility		$975.26	$1,901.76	$1,901.76
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,177.28	Professional		$713.50	$713.50	$1,177.28