Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.14 / $3,391.00 / $6,915.00	Facility		$556.14	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $556.14 / $1,229.33	Professional		$391.73	$556.14	$1,229.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $598.22 / $1,093.06	Professional		$401.95	$598.22	$1,093.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.89 / $602.89 / $602.89	Facility		$602.89	$602.89	$602.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.11 / $680.08 / $860.00	Facility		$432.11	$680.08	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.66 / $706.24 / $1,160.32	Professional		$460.66	$706.24	$1,160.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.80 / $679.07 / $3,304.00	Professional		$458.80	$679.07	$3,304.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $936.69 / $936.69 / $941.62	Professional		$936.69	$936.69	$941.62
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.66 / $742.39 / $1,202.40	Professional		$465.66	$742.39	$1,202.40