Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.83 / $4,368.00 / $6,915.00	Facility		$1,042.83	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $738.10 / $1,416.51	Professional		$615.58	$738.10	$1,416.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.96 / $972.32 / $1,796.87	Professional		$659.96	$972.32	$1,796.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.03 / $1,459.46 / $1,985.30	Facility		$1,202.03	$1,459.46	$1,985.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $789.73 / $4,830.16	Facility		$789.73	$789.73	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.94 / $1,055.29 / $1,750.70	Professional		$694.94	$1,055.29	$1,750.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.14 / $1,141.61 / $1,717.45	Professional		$762.14	$1,141.61	$1,717.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.17 / $1,108.67 / $1,281.77	Professional		$1,083.17	$1,108.67	$1,281.77
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 $601.08 / $903.95 / $1,569.09	Professional		$601.08	$903.95	$1,569.09