Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.02 / $3,460.00 / $6,915.00	Facility		$403.02	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.68 / $390.79 / $719.52	Professional		$243.68	$390.79	$719.52
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 $250.19 / $365.10 / $680.36	Professional		$250.19	$365.10	$680.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.91 / $523.83 / $785.78	Facility		$434.91	$523.83	$785.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.07 / $429.16 / $2,500.00	Facility		$319.07	$429.16	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $477.50 / $843.68	Professional		$288.77	$477.50	$843.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.42 / $445.25 / $914.63	Professional		$298.42	$445.25	$914.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.55 / $576.10 / $682.59	Professional		$392.55	$576.10	$682.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.98 / $509.98 / $850.68	Professional		$339.98	$509.98	$850.68