Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,570.88 / $7,413.10	Facility		$1,862.09	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $309.03	Professional		$144.54	$169.82	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $6,025.60	Facility		$724.44	$2,818.38	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $389.05	Professional		$162.18	$295.12	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,737.80	Facility		$512.86	$707.95	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $389.05	Professional		$162.18	$239.88	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $1,202.26	Professional		$138.04	$177.83	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $281.84 / $380.19	Professional		$3.98	$281.84	$380.19
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 $144.54 / $199.53 / $338.84	Professional		$144.54	$199.53	$338.84