Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.79 / $600.79 / $600.79	Facility		$600.79	$600.79	$600.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $600.79 / $615.26	Professional		$579.07	$600.79	$615.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.46 / $660.51 / $688.01	Professional		$651.46	$660.51	$688.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $633.36 / $633.36	Facility		$615.26	$633.36	$633.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
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 Facility Modifier Low / Median / High Price $1,991.61 / $1,991.61 / $1,991.61	Facility		$1,991.61	$1,991.61	$1,991.61
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $796.22	Professional		$723.84	$723.84	$796.22