Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.50 / $3,460.00 / $6,915.00	Facility		$371.50	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $359.65 / $529.73	Professional		$227.34	$359.65	$529.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.93 / $321.89 / $611.54	Professional		$229.93	$321.89	$611.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.73 / $479.22 / $74,999.25	Facility		$398.73	$479.22	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.49 / $285.61 / $886.00	Facility		$228.49	$285.61	$886.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $445.41 / $857.59	Professional		$258.68	$445.41	$857.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.63 / $462.19 / $1,843.23	Professional		$261.63	$462.19	$1,843.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.77 / $524.70 / $828.54	Professional		$325.77	$524.70	$828.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.80 / $452.81 / $801.76	Professional		$357.80	$452.81	$801.76