Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.53 / $4,733.00 / $6,915.00	Facility		$597.53	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $449.16 / $859.98	Professional		$362.80	$449.16	$859.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.27 / $575.70 / $1,113.58	Professional		$367.27	$575.70	$1,113.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.34 / $559.34 / $559.34	Facility		$559.34	$559.34	$559.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $464.98 / $1,272.50	Facility		$464.98	$464.98	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $615.78 / $1,126.83	Professional		$402.20	$615.78	$1,126.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.29 / $630.00 / $1,180.13	Professional		$469.29	$630.00	$1,180.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $580.07 / $744.31 / $1,771.12	Professional		$580.07	$744.31	$1,771.12
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 $355.39 / $535.88 / $1,058.19	Professional		$355.39	$535.88	$1,058.19