Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.47 / $3,391.00 / $6,915.00	Facility		$514.47	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $365.92 / $701.83	Professional		$307.07	$365.92	$701.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $489.61 / $900.70	Professional		$334.00	$489.61	$900.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.96 / $732.75 / $996.75	Facility		$599.96	$732.75	$996.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $2,172.58	Facility		$396.91	$396.91	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.07 / $524.98 / $871.96	Professional		$341.07	$524.98	$871.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.65 / $563.82 / $862.28	Professional		$382.65	$563.82	$862.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.74 / $582.16 / $1,522.95	Professional		$448.74	$582.16	$1,522.95
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 $299.60 / $458.85 / $786.52	Professional		$299.60	$458.85	$786.52