Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $2,960.00 / $6,915.00	Facility		$563.79	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $539.86 / $975.24	Professional		$335.64	$539.86	$975.24
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 $349.93 / $528.39 / $967.87	Professional		$349.93	$528.39	$967.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.49 / $728.06 / $1,088.54	Facility		$602.49	$728.06	$1,088.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $2,172.58	Facility		$591.71	$591.71	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.08 / $651.24 / $1,195.36	Professional		$421.08	$651.24	$1,195.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.77 / $607.26 / $1,249.28	Professional		$414.77	$607.26	$1,249.28
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.71 / $13.71 / $19.98	Professional	AS	$13.71	$13.71	$19.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $535.39 / $604.86 / $889.93	Professional		$535.39	$604.86	$889.93
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 $474.18 / $725.22 / $1,168.95	Professional		$474.18	$725.22	$1,168.95