Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.19 / $3,295.00 / $6,915.00	Facility		$407.19	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.84 / $407.19 / $805.53	Professional		$329.84	$407.19	$805.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.74 / $552.89 / $988.38	Professional		$377.74	$552.89	$988.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.82 / $873.81 / $1,188.65	Facility		$716.82	$873.81	$1,188.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $700.75 / $860.00	Facility		$177.38	$700.75	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.87 / $596.41 / $1,010.51	Professional		$404.87	$596.41	$1,010.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $622.25 / $1,142.59	Professional		$477.05	$622.25	$1,142.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.53 / $719.07 / $829.70	Professional		$574.53	$719.07	$829.70
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.12 / $519.20 / $1,027.00	Professional		$341.12	$519.20	$1,027.00