Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.52 / $4,368.00 / $6,915.00	Facility		$697.52	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.96 / $578.79 / $1,039.96	Professional		$449.96	$578.79	$1,039.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $740.55 / $1,302.65	Professional		$485.78	$740.55	$1,302.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.18 / $1,097.86 / $1,546.62	Facility		$933.18	$1,097.86	$1,546.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $615.63 / $860.00	Facility		$177.38	$615.63	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.05 / $723.90 / $1,352.21	Professional		$492.05	$723.90	$1,352.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.74 / $809.74 / $1,337.95	Professional		$593.74	$809.74	$1,337.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $708.82 / $860.71 / $985.59	Professional		$708.82	$860.71	$985.59
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 $439.88 / $637.33 / $1,221.18	Professional		$439.88	$637.33	$1,221.18