Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.26 / $5,063.00 / $7,421.00	Facility		$346.26	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $378.11 / $485.52	Professional		$334.68	$378.11	$485.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $659.28 / $704.22	Professional		$322.87	$659.28	$704.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $332.59 / $332.59	Professional		$332.59	$332.59	$332.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $580.22 / $902.92	Professional		$348.78	$580.22	$902.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $507.66 / $6,122.00	Professional		$390.51	$507.66	$6,122.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $436.00 / $436.00	Professional		$398.10	$436.00	$436.00
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $511.36 / $889.05	Professional		$342.25	$511.36	$889.05