Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.26 / $3,295.00 / $6,915.00	Facility		$313.26	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $308.83 / $671.19	Professional		$210.99	$308.83	$671.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $354.74 / $637.34	Professional		$241.70	$354.74	$637.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.14 / $504.83 / $705.21	Facility		$427.14	$504.83	$705.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $414.29 / $2,500.00	Facility		$177.38	$414.29	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $410.08 / $738.78	Professional		$277.37	$410.08	$738.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $412.17 / $1,192.61	Professional		$287.58	$412.17	$1,192.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $393.98 / $500.85 / $767.68	Professional		$393.98	$500.85	$767.68
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 $269.02 / $407.24 / $719.38	Professional		$269.02	$407.24	$719.38