Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.15 / $2,987.00 / $6,915.00	Facility		$451.15	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.95 / $451.15 / $906.78	Professional		$363.95	$451.15	$906.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $579.29 / $1,070.53	Professional		$402.30	$579.29	$1,070.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.27 / $867.53 / $1,180.09	Facility		$710.27	$867.53	$1,180.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $695.28 / $1,153.31	Facility		$640.00	$695.28	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.93 / $617.14 / $1,072.80	Professional		$411.93	$617.14	$1,072.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.63 / $625.79 / $1,108.03	Professional		$473.63	$625.79	$1,108.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.16 / $761.92 / $924.06	Professional		$646.16	$761.92	$924.06
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.30 / $553.44 / $1,006.69	Professional		$381.30	$553.44	$1,006.69