Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.33 / $3,460.00 / $6,915.00	Facility		$1,262.33	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.04 / $784.40 / $1,218.47	Professional		$658.04	$784.40	$1,218.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.08 / $1,081.92 / $1,795.61	Professional		$740.08	$1,081.92	$1,795.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.96 / $1,269.96 / $1,269.96	Facility		$1,269.96	$1,269.96	$1,269.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $2,500.00	Facility		$853.55	$853.55	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.05 / $1,179.36 / $1,923.87	Professional		$780.05	$1,179.36	$1,923.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.09 / $1,184.13 / $5,161.00	Professional		$814.09	$1,184.13	$5,161.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $714.42 / $1,281.51 / $1,369.15	Professional		$714.42	$1,281.51	$1,369.15
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.85 / $1,063.68 / $1,666.73	Professional		$632.85	$1,063.68	$1,666.73