Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.66 / $4,368.00 / $6,915.00	Facility		$739.66	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $514.20 / $1,104.21	Professional		$443.61	$514.20	$1,104.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.37 / $702.31 / $1,326.38	Professional		$465.37	$702.31	$1,326.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $807.20 / $949.64 / $1,113.51	Facility		$807.20	$949.64	$1,113.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.54 / $777.10 / $1,303.04	Professional		$530.54	$777.10	$1,303.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $629.04 / $950.72	Professional		$494.25	$629.04	$950.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $744.51 / $813.52 / $877.97	Professional		$744.51	$813.52	$877.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.14 / $742.67 / $1,212.67	Professional		$479.14	$742.67	$1,212.67