Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $2,800.00 / $6,915.00	Facility		$318.52	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.19 / $307.75 / $595.80	Professional		$248.19	$307.75	$595.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $376.41 / $684.29	Professional		$250.95	$376.41	$684.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.88 / $559.86 / $797.24	Facility		$475.88	$559.86	$797.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $2,172.58	Facility		$466.46	$466.46	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $406.15 / $720.02	Professional		$254.52	$406.15	$720.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $389.52 / $785.61	Professional		$319.95	$389.52	$785.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $486.90 / $570.47	Professional		$389.52	$486.90	$570.47
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 $234.68 / $350.66 / $715.98	Professional		$234.68	$350.66	$715.98