Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.32 / $2,800.00 / $6,915.00	Facility		$596.32	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $634.98 / $968.32	Professional		$323.33	$634.98	$968.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.06 / $575.05 / $1,054.75	Professional		$359.06	$575.05	$1,054.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.54 / $904.89 / $1,304.09	Facility		$565.54	$904.89	$1,304.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $724.87 / $1,272.50	Facility		$640.00	$724.87	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.37 / $710.00 / $1,751.07	Professional		$394.37	$710.00	$1,751.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $919.03 / $2,531.23	Professional		$534.00	$919.03	$2,531.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.31 / $1,298.63 / $1,632.31	Professional		$698.31	$1,298.63	$1,632.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $818.14 / $1,828.96	Professional		$538.41	$818.14	$1,828.96