Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $2,987.00 / $6,915.00	Facility		$371.69	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $371.69 / $729.58	Professional		$303.60	$371.69	$729.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $481.85 / $890.47	Professional		$333.64	$481.85	$890.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $594.03 / $698.87 / $986.49	Facility		$594.03	$698.87	$986.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.91 / $580.91 / $1,153.31	Facility		$580.91	$580.91	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.48 / $516.66 / $889.72	Professional		$339.48	$516.66	$889.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $519.01 / $918.95	Professional		$395.91	$519.01	$918.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.99 / $580.70 / $685.83	Professional		$495.99	$580.70	$685.83
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 $312.52 / $473.12 / $837.33	Professional		$312.52	$473.12	$837.33