Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.21 / $2,960.00 / $6,915.00	Facility		$425.21	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $383.06 / $707.45	Professional		$250.93	$383.06	$707.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $388.74 / $722.33	Professional		$269.58	$388.74	$722.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.03 / $527.03 / $527.03	Facility		$527.03	$527.03	$527.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $1,153.31	Facility		$459.93	$459.93	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $485.30 / $893.40	Professional		$301.56	$485.30	$893.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $477.85 / $987.12	Professional		$323.45	$477.85	$987.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.47 / $613.53 / $1,186.61	Professional		$412.47	$613.53	$1,186.61
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 $361.39 / $536.34 / $995.29	Professional		$361.39	$536.34	$995.29