Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.70 / $3,460.00 / $6,915.00	Facility		$1,261.70	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $784.03 / $1,217.39	Professional		$657.72	$784.03	$1,217.39
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 $739.39 / $1,081.40 / $1,794.03	Professional		$739.39	$1,081.40	$1,794.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.33 / $1,269.33 / $1,269.33	Facility		$1,269.33	$1,269.33	$1,269.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $2,500.00	Facility		$852.80	$852.80	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $1,178.32 / $1,922.18	Professional		$779.24	$1,178.32	$1,922.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.33 / $1,183.02 / $5,158.00	Professional		$813.33	$1,183.02	$5,158.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.73 / $1,280.39 / $1,367.87	Professional		$713.73	$1,280.39	$1,367.87
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 $632.54 / $1,063.16 / $1,681.81	Professional		$632.54	$1,063.16	$1,681.81