Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,630.78 / $7,413.10	Facility		$323.59	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,949.84 / $4,677.35	Facility		$588.84	$1,949.84	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $562.34	Professional		$190.55	$316.23	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $549.54	Facility		$281.84	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $575.44	Professional		$177.83	$302.00	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $616.60	Professional		$218.78	$338.84	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $537.03 / $870.96	Professional		$5.01	$537.03	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $512.86	Professional		$173.78	$275.42	$512.86