Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.61 / $4,592.00 / $6,915.00	Facility		$225.61	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $217.66 / $416.30	Professional		$144.59	$217.66	$416.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $284.11 / $509.76	Professional		$184.34	$284.11	$509.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.62 / $292.62 / $292.62	Facility		$292.62	$292.62	$292.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $2,172.58	Facility		$285.79	$285.79	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $269.27 / $483.48	Professional		$180.42	$269.27	$483.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.11 / $285.14 / $570.51	Professional		$201.11	$285.14	$570.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $303.27 / $445.11	Professional		$205.62	$303.27	$445.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $274.73 / $521.13	Professional		$185.89	$274.73	$521.13