Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.98 / $4,592.00 / $6,915.00	Facility		$653.98	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.51 / $707.91 / $1,463.83	Professional		$529.51	$707.91	$1,463.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.98 / $962.60 / $1,644.24	Professional		$622.98	$962.60	$1,644.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.34 / $1,259.52 / $1,934.27	Facility		$1,170.34	$1,259.52	$1,934.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.05 / $1,087.93 / $1,719.72	Professional		$708.05	$1,087.93	$1,719.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.39 / $894.36 / $1,142.22	Professional		$674.39	$894.36	$1,142.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $782.57 / $987.45 / $1,311.35	Professional		$782.57	$987.45	$1,311.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.27 / $1,075.86 / $1,662.53	Professional		$754.27	$1,075.86	$1,662.53