Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.71 / $3,391.00 / $6,915.00	Facility		$627.71	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $412.79 / $789.57	Professional		$317.08	$412.79	$789.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $839.59 / $1,697.15	Facility		$434.00	$839.59	$1,697.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.61 / $556.30 / $1,050.74	Professional		$355.61	$556.30	$1,050.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.11 / $614.11 / $614.11	Facility		$614.11	$614.11	$614.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $2,500.00	Facility		$409.86	$409.86	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $600.59 / $1,085.42	Professional		$378.36	$600.59	$1,085.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.95 / $600.98 / $1,028.42	Professional		$408.95	$600.98	$1,028.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $634.64 / $1,466.26	Professional		$532.04	$634.64	$1,466.26
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $523.87 / $847.48	Professional		$326.39	$523.87	$847.48