Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.80 / $2,800.00 / $6,915.00	Facility		$249.80	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $253.73 / $483.41	Professional		$210.01	$253.73	$483.41
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 $222.86 / $341.51 / $629.19	Professional		$222.86	$341.51	$629.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.19 / $499.05 / $710.73	Facility		$424.19	$499.05	$710.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $1,153.31	Facility		$415.55	$415.55	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $347.11 / $621.74	Professional		$227.43	$347.11	$621.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $327.94 / $618.84	Professional		$274.62	$327.94	$618.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $397.28 / $459.50	Professional		$347.26	$397.28	$459.50
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $298.67 / $562.66	Professional		$204.66	$298.67	$562.66