Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.24 / $5,063.00 / $9,512.00	Facility		$657.24	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $493.37 / $992.98	Professional		$412.59	$493.37	$992.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,616.62 / $6,315.83	Facility		$1,350.00	$3,616.62	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.80 / $664.07 / $1,201.47	Professional		$461.80	$664.07	$1,201.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $801.54 / $972.75 / $1,323.23	Facility		$801.54	$972.75	$1,323.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $2,172.58	Facility		$526.36	$526.36	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.85 / $712.99 / $1,166.69	Professional		$472.85	$712.99	$1,166.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.98 / $701.90 / $1,231.64	Professional		$507.98	$701.90	$1,231.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.18 / $779.74 / $2,037.41	Professional		$658.18	$779.74	$2,037.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.70 / $645.37 / $1,049.16	Professional		$403.70	$645.37	$1,049.16