Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.98 / $4,989.60 / $6,915.00	Facility		$762.98	$4,989.60	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $629.63 / $1,660.94	Professional		$154.16	$629.63	$1,660.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.11 / $543.03 / $1,642.64	Professional		$210.11	$543.03	$1,642.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.63 / $363.72 / $558.57	Facility		$329.63	$363.72	$558.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $1,029.11 / $2,028.71	Professional		$244.72	$1,029.11	$2,028.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $782.72 / $2,601.00	Professional		$189.94	$782.72	$2,601.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $903.01 / $1,174.07	Professional		$231.53	$903.01	$1,174.07
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.18 / $1,385.27 / $1,959.41	Professional		$943.18	$1,385.27	$1,959.41