Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.10 / $3,460.00 / $6,915.00	Facility		$1,160.10	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $719.61 / $1,118.94	Professional		$603.70	$719.61	$1,118.94
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 $678.70 / $992.32 / $1,646.64	Professional		$678.70	$992.32	$1,646.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,164.78 / $1,164.78 / $1,164.78	Facility		$1,164.78	$1,164.78	$1,164.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $782.81 / $2,500.00	Facility		$782.81	$782.81	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.27 / $1,081.57 / $1,764.26	Professional		$715.27	$1,081.57	$1,764.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.57 / $1,085.92 / $4,747.00	Professional		$746.57	$1,085.92	$4,747.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $1,175.19 / $1,255.59	Professional		$655.16	$1,175.19	$1,255.59
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 $581.62 / $977.58 / $1,543.64	Professional		$581.62	$977.58	$1,543.64