Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.78 / $2,987.00 / $6,915.00	Facility		$352.78	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $351.35 / $709.01	Professional		$267.45	$351.35	$709.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $418.19 / $754.21	Professional		$301.83	$418.19	$754.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.13 / $381.13 / $381.13	Facility		$381.13	$381.13	$381.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $525.61 / $640.00	Facility		$177.38	$525.61	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $448.78 / $808.09	Professional		$286.64	$448.78	$808.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $441.94 / $868.76	Professional		$360.77	$441.94	$868.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.19 / $546.74 / $630.85	Professional		$439.19	$546.74	$630.85
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 $272.85 / $400.60 / $789.29	Professional		$272.85	$400.60	$789.29