Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.07 / $2,800.00 / $6,915.00	Facility		$526.07	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $554.66 / $1,060.57	Professional		$369.77	$554.66	$1,060.57
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 $402.19 / $564.97 / $976.60	Professional		$402.19	$564.97	$976.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $847.70 / $1,153.13	Facility		$695.90	$847.70	$1,153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $680.34 / $2,172.58	Facility		$640.00	$680.34	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.58 / $656.40 / $1,189.26	Professional		$400.58	$656.40	$1,189.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $680.12 / $1,494.00	Professional		$482.93	$680.12	$1,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $718.21 / $718.21 / $1,075.61	Professional		$718.21	$718.21	$1,075.61
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 $471.84 / $707.46 / $1,490.64	Professional		$471.84	$707.46	$1,490.64