Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.12 / $4,368.00 / $6,915.00	Facility		$984.12	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.87 / $684.41 / $1,353.46	Professional		$559.87	$684.41	$1,353.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.61 / $908.33 / $1,652.19	Professional		$624.61	$908.33	$1,652.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,109.97 / $1,341.74 / $1,825.14	Facility		$1,109.97	$1,341.74	$1,825.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $2,172.58	Facility		$725.37	$725.37	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.88 / $975.11 / $1,618.27	Professional		$633.88	$975.11	$1,618.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.67 / $1,006.70 / $1,595.61	Professional		$700.67	$1,006.70	$1,595.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $990.54 / $1,023.76 / $1,178.39	Professional		$990.54	$1,023.76	$1,178.39
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 $558.52 / $843.58 / $1,442.75	Professional		$558.52	$843.58	$1,442.75