Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.57 / $2,800.00 / $6,915.00	Facility		$368.57	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $414.95 / $698.94	Professional		$223.26	$414.95	$698.94
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 $232.19 / $346.13 / $677.70	Professional		$232.19	$346.13	$677.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.94 / $709.94 / $709.94	Facility		$709.94	$709.94	$709.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $657.54	Facility		$407.87	$407.87	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $501.27 / $1,046.45	Professional		$248.38	$501.27	$1,046.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $560.78 / $1,351.48	Professional		$296.39	$560.78	$1,351.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $686.96 / $864.54	Professional		$380.94	$686.96	$864.54
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 $382.66 / $576.12 / $1,073.53	Professional		$382.66	$576.12	$1,073.53