Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.57 / $2,800.00 / $6,915.00	Facility		$536.57	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.49 / $536.57 / $1,058.09	Professional		$441.49	$536.57	$1,058.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.36 / $693.81 / $1,273.64	Professional		$475.36	$693.81	$1,273.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $853.67 / $1,041.26 / $1,416.42	Facility		$853.67	$1,041.26	$1,416.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $640.00 / $834.70	Facility		$177.38	$640.00	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $746.95 / $1,283.65	Professional		$498.24	$746.95	$1,283.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $745.13 / $1,309.28	Professional		$568.47	$745.13	$1,309.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $787.37 / $914.49 / $977.13	Professional		$787.37	$914.49	$977.13
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 $449.38 / $676.31 / $1,197.08	Professional		$449.38	$676.31	$1,197.08