Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,623.41 / $10,964.78	Facility		$354.81	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $549.54	Professional		$208.93	$338.84	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,090.30 / $4,786.30	Facility		$1,023.29	$3,090.30	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $676.08	Professional		$251.19	$416.87	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $2,187.76	Facility		$512.86	$1,318.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $645.65	Professional		$223.87	$354.81	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $707.95	Professional		$234.42	$380.19	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $676.08 / $1,023.29	Professional		$5.01	$676.08	$1,023.29
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 $204.17 / $338.84 / $616.60	Professional		$204.17	$338.84	$616.60