Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.94 / $3,164.00 / $6,915.00	Facility		$508.94	$3,164.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.23 / $508.94 / $945.56	Professional		$403.23	$508.94	$945.56
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 $447.12 / $640.05 / $1,157.58	Professional		$447.12	$640.05	$1,157.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $785.48 / $962.13 / $1,308.78	Facility		$785.48	$962.13	$1,308.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.83 / $768.83 / $1,153.31	Facility		$768.83	$768.83	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $678.17 / $1,180.53	Professional		$440.80	$678.17	$1,180.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.26 / $732.42 / $1,248.92	Professional		$525.26	$732.42	$1,248.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $640.55 / $776.65 / $933.02	Professional		$640.55	$776.65	$933.02
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $627.64 / $1,134.70	Professional		$421.30	$627.64	$1,134.70