Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.46 / $3,521.64 / $3,544.00	Facility		$743.46	$3,521.64	$3,544.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.46 / $1,028.54 / $1,108.35	Professional		$743.46	$1,028.54	$1,108.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.65 / $1,161.30 / $1,672.11	Facility		$556.65	$1,161.30	$1,672.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $335.33 / $2,193.48	Professional		$251.49	$335.33	$2,193.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,890.73 / $2,802.57	Facility		$1,303.95	$1,890.73	$2,802.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,695.14 / $2,868.69 / $4,020.84	Facility		$1,695.14	$2,868.69	$4,020.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $7,339.61 / $7,339.61	Professional		$894.38	$7,339.61	$7,339.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,434.35 / $1,825.53	Professional		$1,173.56	$1,434.35	$1,825.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.58 / $1,747.29 / $2,412.31	Professional		$1,512.58	$1,747.29	$2,412.31
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $670.79 / $2,282.56	Professional		$469.55	$670.79	$2,282.56