Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.98 / $2,800.00 / $6,915.00	Facility		$404.98	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $404.98 / $779.18	Professional		$326.82	$404.98	$779.18
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 $359.85 / $517.74 / $950.43	Professional		$359.85	$517.74	$950.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.80 / $775.19 / $1,059.75	Facility		$636.80	$775.19	$1,059.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $623.15 / $640.00	Facility		$177.38	$623.15	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.69 / $540.10 / $959.62	Professional		$360.69	$540.10	$959.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.33 / $530.71 / $991.14	Professional		$425.33	$530.71	$991.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $573.54 / $679.72 / $820.37	Professional		$573.54	$679.72	$820.37
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 $326.39 / $489.69 / $904.86	Professional		$326.39	$489.69	$904.86