Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.96 / $3,295.00 / $6,915.00	Facility		$466.96	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $418.37 / $770.48	Professional		$274.67	$418.37	$770.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $439.29 / $796.45	Professional		$292.88	$439.29	$796.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.29 / $615.80 / $891.32	Facility		$511.29	$615.80	$891.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $2,172.58	Facility		$503.06	$503.06	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.81 / $536.34 / $981.91	Professional		$344.81	$536.34	$981.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $517.69 / $1,062.83	Professional		$350.82	$517.69	$1,062.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.10 / $665.06 / $1,299.67	Professional		$448.10	$665.06	$1,299.67
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 $396.10 / $587.80 / $1,062.17	Professional		$396.10	$587.80	$1,062.17