Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.83 / $4,592.00 / $7,421.00	Facility		$438.83	$4,592.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $426.11 / $821.12	Professional		$277.94	$426.11	$821.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.12 / $432.65 / $762.28	Professional		$278.12	$432.65	$762.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.79 / $583.49 / $875.88	Facility		$484.79	$583.49	$875.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $2,172.58	Facility		$478.20	$478.20	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.43 / $548.61 / $1,022.60	Professional		$349.43	$548.61	$1,022.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.40 / $526.29 / $1,005.59	Professional		$332.40	$526.29	$1,005.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $512.45 / $750.49	Professional		$432.12	$512.45	$750.49
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 $384.43 / $607.64 / $941.79	Professional		$384.43	$607.64	$941.79