Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.82 / $3,391.00 / $6,915.00	Facility		$574.82	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $479.85 / $1,009.81	Professional		$390.43	$479.85	$1,009.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.83 / $641.55 / $1,177.72	Professional		$423.83	$641.55	$1,177.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.40 / $887.60 / $1,308.69	Facility		$788.40	$887.60	$1,308.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $1,153.31	Facility		$521.15	$521.15	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.93 / $679.60 / $1,151.68	Professional		$420.93	$679.60	$1,151.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $730.75 / $1,475.30	Professional		$502.39	$730.75	$1,475.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.61 / $797.83 / $844.93	Professional		$702.61	$797.83	$844.93
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 $374.40 / $532.24 / $1,028.58	Professional		$374.40	$532.24	$1,028.58