Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.95 / $5,045.00 / $6,915.00	Facility		$411.95	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $272.57 / $677.00	Professional		$229.37	$272.57	$677.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $388.33 / $709.99	Professional		$241.01	$388.33	$709.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.02 / $484.73 / $573.77	Facility		$412.02	$484.73	$573.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.54 / $410.00 / $667.21	Professional		$270.54	$410.00	$667.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.68 / $324.14 / $434.21	Professional		$254.68	$324.14	$434.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.02 / $423.22 / $452.87	Professional		$380.02	$423.22	$452.87
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $358.29 / $591.59	Professional		$244.05	$358.29	$591.59