Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.38 / $4,708.00 / $6,915.00	Facility		$655.38	$4,708.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.98 / $519.02 / $1,043.52	Professional		$425.98	$519.02	$1,043.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $668.83 / $1,203.73	Professional		$441.19	$668.83	$1,203.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.50 / $766.50 / $766.50	Facility		$766.50	$766.50	$766.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $1,153.31	Facility		$537.02	$537.02	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.37 / $705.04 / $1,200.64	Professional		$471.37	$705.04	$1,200.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $773.48 / $1,147.07	Professional		$509.03	$773.48	$1,147.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.48 / $776.17 / $832.95	Professional		$416.48	$776.17	$832.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.42 / $703.32 / $1,080.86	Professional		$418.42	$703.32	$1,080.86