Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.15 / $4,592.00 / $6,915.00	Facility		$816.15	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $489.20 / $1,100.81	Professional		$419.82	$489.20	$1,100.81
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 $466.31 / $692.90 / $1,154.16	Professional		$466.31	$692.90	$1,154.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $832.02 / $921.17 / $1,372.32	Facility		$832.02	$921.17	$1,372.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.70 / $545.70 / $1,653.56	Facility		$545.70	$545.70	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.97 / $772.40 / $1,206.82	Professional		$489.97	$772.40	$1,206.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.83 / $766.30 / $2,717.00	Professional		$526.83	$766.30	$2,717.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $842.87 / $886.04	Professional		$754.10	$842.87	$886.04
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 $410.14 / $672.34 / $1,078.61	Professional		$410.14	$672.34	$1,078.61