Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.33 / $4,368.00 / $6,915.00	Facility		$742.33	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $501.13 / $921.56	Professional		$397.32	$501.13	$921.56
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 $430.74 / $665.86 / $1,314.76	Professional		$430.74	$665.86	$1,314.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.09 / $931.56 / $1,267.20	Facility		$770.09	$931.56	$1,267.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $506.28 / $1,272.50	Facility		$506.28	$506.28	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.98 / $718.50 / $1,328.75	Professional		$462.98	$718.50	$1,328.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.58 / $724.73 / $1,278.94	Professional		$508.58	$724.73	$1,278.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $684.44 / $789.24 / $818.15	Professional		$684.44	$789.24	$818.15
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 $398.79 / $628.80 / $1,149.11	Professional		$398.79	$628.80	$1,149.11