Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.93 / $5,063.00 / $6,915.00	Facility		$740.93	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.72 / $556.70 / $1,025.76	Professional		$427.72	$556.70	$1,025.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,600.00 / $5,240.56	Facility		$878.93	$2,600.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.35 / $736.35 / $1,267.58	Professional		$473.35	$736.35	$1,267.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $719.36 / $719.36 / $719.36	Facility		$719.36	$719.36	$719.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $1,153.31	Facility		$598.53	$598.53	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.72 / $761.51 / $1,320.15	Professional		$504.72	$761.51	$1,320.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $787.53 / $1,301.44	Professional		$577.52	$787.53	$1,301.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $925.71 / $925.71 / $945.04	Professional		$925.71	$925.71	$945.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.75 / $656.12 / $1,188.31	Professional		$442.75	$656.12	$1,188.31