Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.95 / $5,045.00 / $6,915.00	Facility		$715.95	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.02 / $504.39 / $966.43	Professional		$422.02	$504.39	$966.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $676.56 / $1,233.21	Professional		$460.80	$676.56	$1,233.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.08 / $1,000.50 / $1,360.97	Facility		$822.08	$1,000.50	$1,360.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $2,172.58	Facility		$541.62	$541.62	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.06 / $717.26 / $1,195.78	Professional		$473.06	$717.26	$1,195.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.47 / $781.54 / $1,177.35	Professional		$522.47	$781.54	$1,177.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $709.77 / $755.84 / $847.65	Professional		$709.77	$755.84	$847.65
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 $411.37 / $638.54 / $1,151.99	Professional		$411.37	$638.54	$1,151.99