Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.54 / $3,391.00 / $6,915.00	Facility		$702.54	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $527.34 / $1,003.56	Professional		$433.94	$527.34	$1,003.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.66 / $703.61 / $1,291.63	Professional		$459.66	$703.61	$1,291.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.20 / $1,046.84 / $1,433.21	Facility		$864.20	$1,046.84	$1,433.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $1,153.31	Facility		$570.63	$570.63	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.05 / $743.12 / $1,253.75	Professional		$492.05	$743.12	$1,253.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.20 / $797.91 / $1,239.85	Professional		$550.20	$797.91	$1,239.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $656.42 / $797.08 / $915.79	Professional		$656.42	$797.08	$915.79
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $642.87 / $1,126.46	Professional		$428.58	$642.87	$1,126.46