Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.87 / $3,295.00 / $6,915.00	Facility		$911.87	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.10 / $887.58 / $1,793.15	Professional		$710.10	$887.58	$1,793.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,874.11 / $6,315.83	Facility		$964.00	$2,874.11	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,099.29 / $2,030.56	Professional		$780.98	$1,099.29	$2,030.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,271.52 / $1,271.52 / $1,271.52	Facility		$1,271.52	$1,271.52	$1,271.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,333.12 / $2,172.58	Facility		$860.00	$1,333.12	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.27 / $1,214.85 / $2,158.37	Professional		$810.27	$1,214.85	$2,158.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.78 / $1,306.25 / $2,247.73	Professional		$906.78	$1,306.25	$2,247.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,592.27 / $1,592.27 / $1,632.20	Professional		$1,592.27	$1,592.27	$1,632.20
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.64 / $1,162.81 / $2,042.16	Professional		$775.64	$1,162.81	$2,042.16