Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.02 / $4,368.00 / $6,915.00	Facility		$596.02	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $499.78 / $764.20	Professional		$382.00	$499.78	$764.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.66 / $638.74 / $1,220.47	Professional		$402.66	$638.74	$1,220.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $948.93 / $1,330.67	Facility		$806.60	$948.93	$1,330.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $1,272.50	Facility		$525.24	$525.24	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $647.10 / $1,190.91	Professional		$410.70	$647.10	$1,190.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.05 / $696.60 / $1,343.02	Professional		$534.05	$696.60	$1,343.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $743.94 / $843.88 / $948.29	Professional		$743.94	$843.88	$948.29
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.85 / $543.54 / $1,079.92	Professional		$367.85	$543.54	$1,079.92