Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.20 / $3,391.00 / $6,915.00	Facility		$629.20	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.90 / $452.06 / $873.42	Professional		$377.90	$452.06	$873.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.42 / $598.02 / $1,105.14	Professional		$404.42	$598.02	$1,105.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $736.71 / $896.06 / $1,218.89	Facility		$736.71	$896.06	$1,218.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $2,172.58	Facility		$485.07	$485.07	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.54 / $650.78 / $1,069.71	Professional		$430.54	$650.78	$1,069.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $701.43 / $1,054.46	Professional		$467.93	$701.43	$1,054.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $672.01 / $679.49 / $786.97	Professional		$672.01	$679.49	$786.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $560.66 / $965.05	Professional		$369.65	$560.66	$965.05