Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $5,045.00 / $6,915.00	Facility		$555.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $434.63 / $838.87	Professional		$347.30	$434.63	$838.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $576.91 / $1,059.07	Professional		$386.00	$576.91	$1,059.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.57 / $842.91 / $1,179.41	Facility		$711.57	$842.91	$1,179.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $1,153.31	Facility		$469.44	$469.44	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.97 / $612.92 / $1,031.72	Professional		$400.97	$612.92	$1,031.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.76 / $617.40 / $1,020.28	Professional		$452.76	$617.40	$1,020.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $734.56 / $734.56 / $734.56	Professional		$734.56	$734.56	$734.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.76 / $508.59 / $931.02	Professional		$354.76	$508.59	$931.02