Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.45 / $3,460.00 / $6,915.00	Facility		$561.45	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.11 / $561.45 / $1,106.13	Professional		$455.11	$561.45	$1,106.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.22 / $709.17 / $1,301.83	Professional		$497.22	$709.17	$1,301.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.12 / $1,063.20 / $1,446.27	Facility		$872.12	$1,063.20	$1,446.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $1,153.31	Facility		$852.82	$852.82	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $763.77 / $1,325.93	Professional		$507.50	$763.77	$1,325.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.45 / $757.85 / $1,369.48	Professional		$580.45	$757.85	$1,369.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.46 / $917.10 / $1,022.07	Professional		$785.46	$917.10	$1,022.07
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.28 / $702.68 / $1,244.22	Professional		$473.28	$702.68	$1,244.22