Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.38 / $3,391.00 / $6,915.00	Facility		$599.38	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $480.09 / $853.06	Professional		$382.17	$480.09	$853.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.30 / $612.89 / $1,120.14	Professional		$403.30	$612.89	$1,120.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.83 / $930.39 / $1,314.99	Facility		$790.83	$930.39	$1,314.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $523.76 / $640.00	Facility		$177.38	$523.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.63 / $630.23 / $1,141.92	Professional		$411.63	$630.23	$1,141.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.81 / $653.58 / $1,137.58	Professional		$504.81	$653.58	$1,137.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $729.40 / $846.21	Professional		$600.67	$729.40	$846.21
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 $365.79 / $551.64 / $1,038.60	Professional		$365.79	$551.64	$1,038.60