Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.36 / $2,987.00 / $6,915.00	Facility		$432.36	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $408.28 / $686.56	Professional		$242.50	$408.28	$686.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.56 / $389.55 / $719.44	Professional		$264.56	$389.55	$719.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $556.53 / $786.00	Facility		$459.99	$556.53	$786.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $452.86 / $2,172.58	Facility		$452.86	$452.86	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $482.47 / $884.70	Professional		$304.22	$482.47	$884.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.05 / $481.87 / $993.88	Professional		$317.05	$481.87	$993.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.52 / $471.52 / $715.55	Professional		$471.52	$471.52	$715.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,647.00	Facility		$1,323.00	$4,594.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.78 / $517.08 / $920.02	Professional		$350.78	$517.08	$920.02