Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.55 / $4,733.00 / $7,421.00	Facility		$840.55	$4,733.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.64 / $633.32 / $1,204.28	Professional		$508.64	$633.32	$1,204.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.28 / $818.32 / $1,505.52	Professional		$560.28	$818.32	$1,505.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,009.86 / $1,188.08 / $1,662.87	Facility		$1,009.86	$1,188.08	$1,662.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.02 / $661.02 / $4,830.16	Facility		$661.02	$661.02	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.02 / $885.75 / $1,472.27	Professional		$586.02	$885.75	$1,472.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.35 / $896.03 / $1,460.57	Professional		$638.35	$896.03	$1,460.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $597.39 / $1,015.57 / $7,044.69	Professional		$597.39	$1,015.57	$7,044.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.07 / $772.99 / $1,314.67	Professional		$504.07	$772.99	$1,314.67