Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.66 / $3,295.00 / $6,915.00	Facility		$435.66	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $419.15 / $794.57	Professional		$274.10	$419.15	$794.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $424.10 / $755.42	Professional		$277.79	$424.10	$755.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.20 / $582.80 / $874.82	Facility		$484.20	$582.80	$874.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $2,172.58	Facility		$477.61	$477.61	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $539.02 / $966.65	Professional		$341.25	$539.02	$966.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $488.79 / $998.40	Professional		$332.00	$488.79	$998.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $622.16 / $1,753.97	Professional		$418.22	$622.16	$1,753.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $590.95 / $935.83	Professional		$373.13	$590.95	$935.83