Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.06 / $4,467.00 / $6,915.00	Facility		$934.06	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $676.01 / $1,344.50	Professional		$555.79	$676.01	$1,344.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.20 / $871.48 / $1,610.53	Professional		$591.20	$871.48	$1,610.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.50 / $1,308.90 / $1,780.50	Facility		$1,080.50	$1,308.90	$1,780.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $2,172.58	Facility		$707.88	$707.88	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.21 / $960.01 / $1,596.76	Professional		$616.21	$960.01	$1,596.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.52 / $1,037.93 / $1,540.29	Professional		$683.52	$1,037.93	$1,540.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $969.68 / $1,108.94 / $1,149.55	Professional		$969.68	$1,108.94	$1,149.55
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 $542.66 / $816.63 / $1,406.37	Professional		$542.66	$816.63	$1,406.37