Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.37 / $3,911.00 / $6,915.00	Facility		$459.37	$3,911.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.94 / $459.37 / $745.58	Professional		$281.94	$459.37	$745.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.62 / $520.64 / $971.25	Professional		$331.62	$520.64	$971.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.41 / $632.76 / $821.43	Facility		$578.41	$632.76	$821.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $529.28 / $1,109.54	Professional		$320.77	$529.28	$1,109.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $565.04 / $637.14	Professional		$364.61	$565.04	$637.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $565.04 / $906.43	Professional		$364.61	$565.04	$906.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.67 / $612.92 / $1,176.46	Professional		$436.67	$612.92	$1,176.46