Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.10 / $3,826.00 / $6,915.00	Facility		$297.10	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $328.94 / $633.95	Professional		$192.35	$328.94	$633.95
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 $253.71 / $414.57 / $696.72	Professional		$253.71	$414.57	$696.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.09 / $460.62 / $707.37	Facility		$425.09	$460.62	$707.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.04 / $464.15 / $731.80	Professional		$268.04	$464.15	$731.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $359.93 / $564.85	Professional		$244.95	$359.93	$564.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.77 / $411.96 / $547.49	Professional		$312.77	$411.96	$547.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $488.25 / $740.85	Professional		$339.10	$488.25	$740.85