Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.84 / $2,960.00 / $6,915.00	Facility		$463.84	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.17 / $469.15 / $739.78	Professional		$283.17	$469.15	$739.78
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 $333.08 / $527.00 / $980.22	Professional		$333.08	$527.00	$980.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $574.25 / $628.50 / $815.91	Facility		$574.25	$628.50	$815.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $535.74 / $1,108.20	Professional		$323.58	$535.74	$1,108.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $564.37 / $616.66	Professional		$362.15	$564.37	$616.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $566.04 / $912.13	Professional		$362.15	$566.04	$912.13
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 $427.02 / $594.70 / $1,167.27	Professional		$427.02	$594.70	$1,167.27