Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.75 / $2,800.00 / $6,915.00	Facility		$266.75	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $314.48 / $513.17	Professional		$155.63	$314.48	$513.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $251.20 / $483.89	Professional		$157.46	$251.20	$483.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.35 / $538.35 / $538.35	Facility		$538.35	$538.35	$538.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $271.44 / $657.54	Facility		$271.44	$271.44	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $370.17 / $725.01	Professional		$182.24	$370.17	$725.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $375.95 / $906.03	Professional		$194.75	$375.95	$906.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $307.80 / $602.71	Professional		$164.51	$307.80	$602.71
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.19 / $455.09 / $836.41	Professional		$299.19	$455.09	$836.41