Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.27 / $4,368.00 / $6,915.00	Facility		$656.27	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.43 / $564.42 / $998.83	Professional		$432.43	$564.42	$998.83
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 $437.51 / $699.87 / $1,382.85	Professional		$437.51	$699.87	$1,382.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $1,070.84 / $1,501.28	Facility		$910.23	$1,070.84	$1,501.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.57 / $592.57 / $1,272.50	Facility		$592.57	$592.57	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $717.74 / $1,393.66	Professional		$458.46	$717.74	$1,393.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.52 / $794.16 / $1,515.21	Professional		$602.52	$794.16	$1,515.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $839.53 / $952.45 / $1,068.89	Professional		$839.53	$952.45	$1,068.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,136.00 / $5,352.00	Facility		$1,162.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.42 / $592.37 / $1,206.19	Professional		$415.42	$592.37	$1,206.19