Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.70 / $4,368.00 / $6,915.00	Facility		$561.70	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.57 / $381.80 / $720.68	Professional		$316.57	$381.80	$720.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.25 / $509.31 / $921.47	Professional		$352.25	$509.31	$921.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.67 / $748.61 / $1,018.32	Facility		$613.67	$748.61	$1,018.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $2,172.58	Facility		$405.47	$405.47	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $540.86 / $891.62	Professional		$362.70	$540.86	$891.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $570.36 / $880.92	Professional		$390.92	$570.36	$880.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.59 / $626.85 / $658.75	Professional		$564.59	$626.85	$658.75
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 $319.20 / $502.89 / $903.61	Professional		$319.20	$502.89	$903.61