Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.96 / $3,826.00 / $6,915.00	Facility		$612.96	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $488.49 / $905.75	Professional		$401.81	$488.49	$905.75
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 $433.25 / $636.05 / $1,175.46	Professional		$433.25	$636.05	$1,175.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.58 / $650.58 / $650.58	Facility		$650.58	$650.58	$650.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $2,172.58	Facility		$518.54	$518.54	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $672.72 / $1,138.32	Professional		$447.56	$672.72	$1,138.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.22 / $688.87 / $1,125.01	Professional		$499.22	$688.87	$1,125.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $580.90 / $676.67 / $809.94	Professional		$580.90	$676.67	$809.94
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 $389.90 / $610.01 / $1,026.45	Professional		$389.90	$610.01	$1,026.45