Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.41 / $1,274.72 / $3,101.00	Facility		$267.41	$1,274.72	$3,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $369.95 / $897.40	Professional		$253.34	$369.95	$897.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.23 / $513.75 / $1,391.34	Facility		$290.23	$513.75	$1,391.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $361.90 / $888.69	Professional		$148.93	$361.90	$888.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $583.07 / $864.28	Facility		$402.12	$583.07	$864.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.55 / $653.45 / $1,240.30	Facility		$358.55	$653.45	$1,240.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $568.21 / $1,705.35	Professional		$200.43	$568.21	$1,705.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $551.48 / $3,133.06	Professional		$402.12	$551.48	$3,133.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.57 / $562.97 / $743.92	Professional		$486.57	$562.97	$743.92
United Facility/Professional Facility Modifier Low / Median / High Price $361.91 / $361.91 / $361.91	Facility		$361.91	$361.91	$361.91
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $274.30 / $844.45	Professional		$168.89	$274.30	$844.45