Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.52 / $3,295.00 / $6,915.00	Facility		$388.52	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $414.12 / $778.25	Professional		$211.88	$414.12	$778.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $363.65 / $678.27	Professional		$214.72	$363.65	$678.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.70 / $716.70 / $716.70	Facility		$716.70	$716.70	$716.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $860.00	Facility		$375.62	$375.62	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $495.58 / $1,096.19	Professional		$255.79	$495.58	$1,096.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $526.41 / $1,352.11	Professional		$269.49	$526.41	$1,352.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $644.86 / $811.55	Professional		$320.48	$644.86	$811.55
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 $450.03 / $616.92 / $1,177.67	Professional		$450.03	$616.92	$1,177.67