Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.24 / $4,829.00 / $6,915.00	Facility		$760.24	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $541.07 / $1,080.29	Professional		$447.70	$541.07	$1,080.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.21 / $719.15 / $1,317.11	Professional		$479.21	$719.15	$1,317.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $1,069.52 / $1,454.85	Facility		$880.08	$1,069.52	$1,454.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $2,172.58	Facility		$578.80	$578.80	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.70 / $772.09 / $1,280.19	Professional		$511.70	$772.09	$1,280.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.51 / $761.61 / $1,339.92	Professional		$558.51	$761.61	$1,339.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.66 / $856.12 / $2,237.04	Professional		$722.66	$856.12	$2,237.04
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 $441.12 / $674.66 / $1,187.46	Professional		$441.12	$674.66	$1,187.46