Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.35 / $5,063.00 / $8,401.00	Facility		$508.35	$5,063.00	$8,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $769.17 / $1,966.30	Professional		$271.36	$769.17	$1,966.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $5,144.24 / $19,708.59	Facility		$1,839.72	$5,144.24	$19,708.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.64 / $852.92 / $2,353.67	Professional		$363.64	$852.92	$2,353.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.03 / $653.00 / $1,002.81	Facility		$599.03	$653.00	$1,002.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,445.02 / $5,445.02 / $5,445.02	Facility		$5,445.02	$5,445.02	$5,445.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.72 / $1,119.73 / $2,293.84	Professional		$406.72	$1,119.73	$2,293.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.18 / $914.54 / $2,541.33	Professional		$345.18	$914.54	$2,541.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.52 / $580.53 / $1,600.79	Professional		$441.52	$580.53	$1,600.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.77 / $1,638.45 / $2,596.16	Professional		$1,025.77	$1,638.45	$2,596.16