Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.92 / $3,684.87 / $3,708.27	Facility		$777.92	$3,684.87	$3,708.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.92 / $1,076.22 / $1,123.01	Professional		$777.92	$1,076.22	$1,123.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $1,482.36 / $2,236.34	Facility		$479.47	$1,482.36	$2,236.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $288.83 / $2,550.16	Professional		$216.63	$288.83	$2,550.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,528.73 / $3,748.26	Facility		$1,743.95	$2,528.73	$3,748.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,267.14 / $3,836.69 / $5,377.12	Facility		$2,267.14	$3,836.69	$5,377.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.84 / $9,815.40 / $9,815.40	Professional		$935.84	$9,815.40	$9,815.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,569.56 / $1,918.35 / $2,441.53	Professional		$1,569.56	$1,918.35	$2,441.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.98 / $2,336.89 / $3,226.31	Professional		$2,022.98	$2,336.89	$3,226.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.82 / $1,052.82 / $1,052.82	Facility		$1,052.82	$1,052.82	$1,052.82
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $701.88 / $3,052.78	Professional		$491.32	$701.88	$3,052.78