Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.50 / $4,368.00 / $6,915.00	Facility		$675.50	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.34 / $540.90 / $953.74	Professional		$435.34	$540.90	$953.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,874.11 / $6,315.83	Facility		$964.00	$2,874.11	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.28 / $714.27 / $1,249.52	Professional		$457.28	$714.27	$1,249.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.86 / $720.86 / $720.86	Facility		$720.86	$720.86	$720.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $2,172.58	Facility		$580.85	$580.85	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $706.23 / $1,285.04	Professional		$473.56	$706.23	$1,285.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.90 / $762.14 / $1,259.47	Professional		$558.90	$762.14	$1,259.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $663.77 / $792.62 / $939.97	Professional		$663.77	$792.62	$939.97
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 $417.89 / $622.34 / $1,144.27	Professional		$417.89	$622.34	$1,144.27