Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,630.78 / $7,413.10	Facility		$676.08	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $870.96	Professional		$346.74	$524.81	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $4,677.35	Facility		$588.84	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,071.52	Professional		$426.58	$676.08	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $2,187.76	Facility		$338.84	$549.54	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,000.00	Professional		$371.54	$562.34	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $1,122.02	Professional		$371.54	$630.96	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,000.00 / $1,445.44	Professional		$5.01	$1,000.00	$1,445.44
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 $346.74 / $524.81 / $954.99	Professional		$346.74	$524.81	$954.99