Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.11 / $4,467.00 / $6,915.00	Facility		$427.11	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $412.71 / $771.32	Professional		$248.85	$412.71	$771.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $395.08 / $716.20	Professional		$263.37	$395.08	$716.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.78 / $528.78 / $528.78	Facility		$528.78	$528.78	$528.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $2,172.58	Facility		$448.74	$448.74	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $492.86 / $885.13	Professional		$303.25	$492.86	$885.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $468.47 / $965.39	Professional		$313.70	$468.47	$965.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.81 / $607.54 / $701.40	Professional		$407.81	$607.54	$701.40
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 $359.10 / $519.55 / $900.38	Professional		$359.10	$519.55	$900.38