Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $3,295.00 / $6,915.00	Facility		$464.08	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $430.55 / $781.43	Professional		$260.64	$430.55	$781.43
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 $255.40 / $423.03 / $716.42	Professional		$255.40	$423.03	$716.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $532.67 / $799.89	Facility		$442.74	$532.67	$799.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $2,172.58	Facility		$436.98	$436.98	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.26 / $513.23 / $901.82	Professional		$324.26	$513.23	$901.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.47 / $453.74 / $931.43	Professional		$303.47	$453.74	$931.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.39 / $581.79 / $1,635.21	Professional		$382.39	$581.79	$1,635.21
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 $370.46 / $566.46 / $935.30	Professional		$370.46	$566.46	$935.30