Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $4,368.00 / $6,915.00	Facility		$654.66	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.56 / $460.32 / $881.00	Professional		$379.56	$460.32	$881.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $621.46 / $1,134.56	Professional		$421.69	$621.46	$1,134.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $731.73 / $887.04 / $1,231.82	Facility		$731.73	$887.04	$1,231.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $485.41 / $1,153.31	Facility		$485.41	$485.41	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $655.13 / $1,072.51	Professional		$423.45	$655.13	$1,072.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.22 / $696.18 / $1,043.84	Professional		$463.22	$696.18	$1,043.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $669.78 / $674.90 / $779.05	Professional		$669.78	$674.90	$779.05
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 $367.19 / $616.96 / $1,048.18	Professional		$367.19	$616.96	$1,048.18