Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.63 / $5,045.00 / $6,915.00	Facility		$736.63	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.83 / $574.39 / $1,287.44	Professional		$469.83	$574.39	$1,287.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.80 / $762.58 / $1,386.32	Professional		$505.80	$762.58	$1,386.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.18 / $826.18 / $826.18	Facility		$826.18	$826.18	$826.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $1,153.31	Facility		$617.76	$617.76	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.67 / $757.09 / $1,381.76	Professional		$503.67	$757.09	$1,381.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.21 / $809.53 / $1,330.02	Professional		$590.21	$809.53	$1,330.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.37 / $861.41 / $1,664.00	Professional		$574.37	$861.41	$1,664.00
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 $450.94 / $711.91 / $1,301.34	Professional		$450.94	$711.91	$1,301.34