Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $4,368.00 / $6,915.00	Facility		$601.48	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $391.19 / $803.84	Professional		$314.02	$391.19	$803.84
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 $328.14 / $515.48 / $1,030.78	Professional		$328.14	$515.48	$1,030.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $698.43 / $950.07	Facility		$580.66	$698.43	$950.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $1,272.50	Facility		$379.42	$379.42	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $585.63 / $982.89	Professional		$392.98	$585.63	$982.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $560.35 / $958.90	Professional		$381.31	$560.35	$958.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.91 / $591.73 / $613.41	Professional		$503.91	$591.73	$613.41
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 $322.51 / $516.05 / $848.91	Professional		$322.51	$516.05	$848.91