Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.53 / $4,592.00 / $6,915.00	Facility		$534.53	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $517.59 / $1,003.26	Professional		$355.60	$517.59	$1,003.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.80 / $548.07 / $978.43	Professional		$359.80	$548.07	$978.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.78 / $789.78 / $789.78	Facility		$789.78	$789.78	$789.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $1,200.00	Facility		$621.90	$621.90	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $685.40 / $1,175.39	Professional		$440.88	$685.40	$1,175.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.49 / $627.79 / $1,236.21	Professional		$430.49	$627.79	$1,236.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $558.35 / $663.67 / $945.68	Professional		$558.35	$663.67	$945.68
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 $459.83 / $735.24 / $1,143.27	Professional		$459.83	$735.24	$1,143.27