Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.85 / $3,295.00 / $6,915.00	Facility		$440.85	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.52 / $440.85 / $899.74	Professional		$354.52	$440.85	$899.74
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 $388.19 / $558.71 / $1,040.83	Professional		$388.19	$558.71	$1,040.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.01 / $597.01 / $597.01	Facility		$597.01	$597.01	$597.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $1,153.31	Facility		$684.85	$684.85	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.08 / $592.33 / $1,052.25	Professional		$387.08	$592.33	$1,052.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $581.69 / $1,110.30	Professional		$467.25	$581.69	$1,110.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.48 / $663.44 / $792.40	Professional		$531.48	$663.44	$792.40
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $550.62 / $1,008.74	Professional		$370.29	$550.62	$1,008.74