Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.89 / $5,063.00 / $6,915.00	Facility		$540.89	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $392.87 / $965.82	Professional		$301.31	$392.87	$965.82
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 $354.35 / $510.56 / $936.23	Professional		$354.35	$510.56	$936.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.63 / $758.25 / $1,031.45	Facility		$632.63	$758.25	$1,031.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.60 / $410.60 / $1,153.31	Facility		$410.60	$410.60	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $549.50 / $934.40	Professional		$358.01	$549.50	$934.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.97 / $539.96 / $1,248.27	Professional		$395.97	$539.96	$1,248.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.16 / $583.49 / $665.94	Professional		$551.16	$583.49	$665.94
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,300.00 / $4,066.00	Facility		$772.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.88 / $486.39 / $831.69	Professional		$319.88	$486.39	$831.69