Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.23 / $3,391.00 / $6,915.00	Facility		$546.23	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $360.61 / $732.07	Professional		$297.68	$360.61	$732.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.32 / $465.08 / $851.38	Professional		$327.32	$465.08	$851.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $504.98 / $504.98 / $504.98	Facility		$504.98	$504.98	$504.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $2,225.00	Facility		$380.47	$380.47	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $527.54 / $852.40	Professional		$341.68	$527.54	$852.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.76 / $530.55 / $1,059.42	Professional		$364.76	$530.55	$1,059.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $480.82 / $617.38	Professional		$310.89	$480.82	$617.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.56 / $455.19 / $746.80	Professional		$290.56	$455.19	$746.80