Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $2,800.00 / $6,915.00	Facility		$246.95	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $287.70 / $473.24	Professional		$136.44	$287.70	$473.24
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 $139.59 / $223.11 / $444.95	Professional		$139.59	$223.11	$444.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.22 / $570.22 / $570.22	Facility		$570.22	$570.22	$570.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $657.54	Facility		$239.86	$239.86	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $341.48 / $706.06	Professional		$165.53	$341.48	$706.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $356.99 / $860.32	Professional		$171.78	$356.99	$860.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $286.60 / $583.54	Professional		$144.77	$286.60	$583.54
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 $268.31 / $432.15 / $772.52	Professional		$268.31	$432.15	$772.52