Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $7,413.10	Facility		$1,202.26	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $389.05	Professional		$128.82	$158.49	$389.05
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 $177.83 / $302.00 / $489.78	Professional		$177.83	$302.00	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,348.96	Facility		$338.84	$537.03	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $467.74	Professional		$147.91	$263.03	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $851.14	Professional		$123.03	$158.49	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $436.52 / $501.19	Professional		$5.01	$436.52	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $5,248.07	Facility		$512.86	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $363.08	Professional		$128.82	$218.78	$363.08