Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.66 / $2,965.90 / $6,915.00	Facility		$451.66	$2,965.90	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.28 / $451.66 / $886.23	Professional		$365.28	$451.66	$886.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.45 / $568.03 / $1,042.75	Professional		$384.45	$568.03	$1,042.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.52 / $852.17 / $1,159.20	Facility		$698.52	$852.17	$1,159.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $683.27 / $1,153.31	Facility		$640.00	$683.27	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $612.09 / $1,064.58	Professional		$395.31	$612.09	$1,064.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.24 / $600.64 / $1,099.55	Professional		$465.24	$600.64	$1,099.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $530.59 / $662.31 / $784.33	Professional		$530.59	$662.31	$784.33
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 $379.24 / $569.41 / $1,075.85	Professional		$379.24	$569.41	$1,075.85