Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.54 / $3,295.00 / $6,915.00	Facility		$385.54	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.38 / $369.42 / $669.08	Professional		$229.38	$369.42	$669.08
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 $232.97 / $354.23 / $639.96	Professional		$232.97	$354.23	$639.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.40 / $490.29 / $734.24	Facility		$406.40	$490.29	$734.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.99 / $400.99 / $2,172.58	Facility		$400.99	$400.99	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $452.35 / $822.22	Professional		$283.74	$452.35	$822.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $426.62 / $878.35	Professional		$279.31	$426.62	$878.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.59 / $547.98 / $1,537.48	Professional		$350.59	$547.98	$1,537.48
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 $330.07 / $507.59 / $813.99	Professional		$330.07	$507.59	$813.99