Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.76 / $4,592.00 / $6,915.00	Facility		$496.76	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.25 / $452.83 / $667.80	Professional		$365.25	$452.83	$667.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $3,107.04 / $7,200.00	Facility		$992.53	$3,107.04	$7,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.20 / $492.28 / $917.95	Professional		$339.20	$492.28	$917.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.48 / $768.18 / $74,999.25	Facility		$633.48	$768.18	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $778.00	Facility		$550.00	$550.00	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.24 / $504.51 / $973.33	Professional		$349.24	$504.51	$973.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.15 / $583.49 / $2,962.69	Professional		$401.15	$583.49	$2,962.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.78 / $540.41 / $568.90	Professional		$473.78	$540.41	$568.90
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $3,250.00 / $9,079.00	Facility		$445.00	$3,250.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $462.23 / $812.00	Professional		$339.10	$462.23	$812.00