Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.43 / $4,368.00 / $6,915.00	Facility		$735.43	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.65 / $519.98 / $964.78	Professional		$409.65	$519.98	$964.78
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 $439.68 / $676.65 / $1,267.82	Professional		$439.68	$676.65	$1,267.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.76 / $951.83 / $1,294.76	Facility		$784.76	$951.83	$1,294.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $1,272.50	Facility		$517.42	$517.42	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.21 / $724.55 / $1,324.50	Professional		$469.21	$724.55	$1,324.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.64 / $722.98 / $1,306.78	Professional		$519.64	$722.98	$1,306.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $705.02 / $814.43 / $835.95	Professional		$705.02	$814.43	$835.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $621.14 / $1,138.03	Professional		$413.64	$621.14	$1,138.03