Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.47 / $3,391.00 / $6,915.00	Facility		$441.47	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $360.52 / $681.16	Professional		$308.02	$360.52	$681.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.17 / $490.22 / $911.12	Professional		$328.17	$490.22	$911.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $727.32 / $1,044.81	Facility		$618.21	$727.32	$1,044.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $1,153.31	Facility		$417.74	$417.74	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.91 / $515.97 / $914.00	Professional		$330.91	$515.97	$914.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $443.08 / $903.87	Professional		$401.10	$443.08	$903.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.21 / $639.30 / $690.35	Professional		$570.21	$639.30	$690.35
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 $294.35 / $433.92 / $820.66	Professional		$294.35	$433.92	$820.66