Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.12 / $5,045.00 / $6,915.00	Facility		$1,336.12	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $941.29 / $2,057.17	Professional		$768.84	$941.29	$2,057.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.20 / $1,223.31 / $2,212.37	Professional		$844.20	$1,223.31	$2,212.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,792.59 / $2,438.44	Facility		$1,490.00	$1,792.59	$2,438.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $2,172.58	Facility		$968.28	$968.28	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.80 / $1,345.15 / $2,182.34	Professional		$901.80	$1,345.15	$2,182.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.11 / $1,438.21 / $2,196.98	Professional		$936.11	$1,438.21	$2,196.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.56 / $1,314.93 / $1,531.81	Professional		$1,121.56	$1,314.93	$1,531.81
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 $754.94 / $1,153.22 / $1,934.31	Professional		$754.94	$1,153.22	$1,934.31