Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.22 / $3,295.00 / $6,915.00	Facility		$498.22	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $525.26 / $971.06	Professional		$322.02	$525.26	$971.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.08 / $501.99 / $920.14	Professional		$358.08	$501.99	$920.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.04 / $754.29 / $1,026.06	Facility		$613.04	$754.29	$1,026.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $600.58 / $1,551.32	Facility		$600.58	$600.58	$1,551.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.27 / $610.80 / $1,232.86	Professional		$355.27	$610.80	$1,232.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.70 / $631.92 / $1,424.02	Professional		$429.70	$631.92	$1,424.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $565.44 / $677.71 / $1,203.81	Professional		$565.44	$677.71	$1,203.81
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 $459.03 / $669.16 / $1,319.74	Professional		$459.03	$669.16	$1,319.74