Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,370.32 / $7,413.10	Facility		$457.09	$5,370.32	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $602.56	Professional		$223.87	$371.54	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,677.35	Facility		$707.95	$2,238.72	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $707.95	Professional		$288.40	$446.68	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,778.28	Facility		$512.86	$707.95	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $707.95	Professional		$251.19	$398.11	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $741.31	Professional		$245.47	$436.52	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $707.95 / $1,071.52	Professional		$5.01	$707.95	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,606.93	Facility		$616.60	$3,235.94	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $660.69	Professional		$223.87	$363.08	$660.69