Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.40 / $3,391.00 / $6,915.00	Facility		$579.40	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $446.18 / $835.32	Professional		$358.92	$446.18	$835.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,874.11 / $6,315.83	Facility		$741.08	$2,874.11	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.48 / $584.69 / $1,073.33	Professional		$386.48	$584.69	$1,073.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.83 / $861.06 / $1,195.92	Facility		$720.83	$861.06	$1,195.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $2,172.58	Facility		$476.15	$476.15	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.86 / $618.54 / $1,046.16	Professional		$403.86	$618.54	$1,046.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.10 / $626.04 / $1,034.57	Professional		$459.10	$626.04	$1,034.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $640.69 / $727.11 / $772.12	Professional		$640.69	$727.11	$772.12
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 $356.29 / $544.53 / $939.94	Professional		$356.29	$544.53	$939.94