Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $7,413.10	Facility		$1,778.28	$4,365.16	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $194.98	Professional		$114.82	$131.83	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $331.13	Professional		$114.82	$194.98	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,023.29	Facility		$512.86	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $331.13	Professional		$117.49	$173.78	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $323.59	Professional		$123.03	$162.18	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $245.47	Professional		$5.01	$5.01	$245.47
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 $112.20 / $151.36 / $263.03	Professional		$112.20	$151.36	$263.03