Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.77 / $3,460.00 / $6,900.00	Facility		$398.77	$3,460.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $381.41 / $690.07	Professional		$233.26	$381.41	$690.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $363.44 / $654.52	Professional		$240.69	$363.44	$654.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.42 / $515.42 / $515.42	Facility		$515.42	$515.42	$515.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.76 / $410.50 / $2,500.00	Facility		$329.76	$410.50	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $463.11 / $828.90	Professional		$277.38	$463.11	$828.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $436.93 / $900.93	Professional		$286.76	$436.93	$900.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.25 / $564.63 / $1,058.10	Professional		$368.25	$564.63	$1,058.10
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 $340.02 / $501.32 / $838.79	Professional		$340.02	$501.32	$838.79