Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.68 / $4,368.00 / $6,915.00	Facility		$695.68	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.18 / $487.09 / $885.29	Professional		$377.18	$487.09	$885.29
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 $421.37 / $628.25 / $1,201.67	Professional		$421.37	$628.25	$1,201.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $754.79 / $900.77 / $1,225.31	Facility		$754.79	$900.77	$1,225.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $1,272.50	Facility		$489.28	$489.28	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.75 / $681.22 / $1,284.85	Professional		$458.75	$681.22	$1,284.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.77 / $684.21 / $1,236.68	Professional		$491.77	$684.21	$1,236.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.17 / $780.72 / $828.89	Professional		$696.17	$780.72	$828.89
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 $381.46 / $587.95 / $994.41	Professional		$381.46	$587.95	$994.41