Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.91 / $3,295.00 / $6,915.00	Facility		$524.91	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.80 / $547.04 / $1,054.45	Professional		$450.80	$547.04	$1,054.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.89 / $725.72 / $1,304.24	Professional		$498.89	$725.72	$1,304.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.08 / $1,058.48 / $1,439.84	Facility		$874.08	$1,058.48	$1,439.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $853.34 / $860.00	Facility		$177.38	$853.34	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $782.24 / $1,296.77	Professional		$516.79	$782.24	$1,296.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.85 / $763.43 / $1,261.58	Professional		$559.85	$763.43	$1,261.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $806.19 / $900.44 / $941.56	Professional		$806.19	$900.44	$941.56
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 $446.96 / $672.04 / $1,155.85	Professional		$446.96	$672.04	$1,155.85