Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $3,295.00 / $6,915.00	Facility		$480.38	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.25 / $480.38 / $992.52	Professional		$389.25	$480.38	$992.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.29 / $606.83 / $1,113.96	Professional		$403.29	$606.83	$1,113.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.09 / $638.09 / $638.09	Facility		$638.09	$638.09	$638.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $730.13 / $1,153.31	Facility		$730.13	$730.13	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.94 / $646.42 / $1,136.57	Professional		$430.94	$646.42	$1,136.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $663.00 / $1,173.89	Professional		$497.50	$663.00	$1,173.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $567.07 / $706.05 / $835.84	Professional		$567.07	$706.05	$835.84
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 $394.54 / $600.12 / $1,072.94	Professional		$394.54	$600.12	$1,072.94