Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.09 / $3,360.00 / $6,915.00	Facility		$651.09	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $526.91 / $1,013.25	Professional		$434.12	$526.91	$1,013.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.27 / $698.34 / $1,286.75	Professional		$474.27	$698.34	$1,286.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.34 / $1,020.89 / $1,427.66	Facility		$863.34	$1,020.89	$1,427.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $568.02 / $640.00	Facility		$177.38	$568.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.48 / $730.10 / $1,251.06	Professional		$487.48	$730.10	$1,251.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.05 / $747.36 / $1,235.06	Professional		$548.05	$747.36	$1,235.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.30 / $889.18 / $921.74	Professional		$779.30	$889.18	$921.74
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 $427.35 / $635.55 / $1,126.95	Professional		$427.35	$635.55	$1,126.95