Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.10 / $2,595.00 / $6,915.00	Facility		$645.10	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.26 / $645.10 / $1,274.24	Professional		$520.26	$645.10	$1,274.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.13 / $824.43 / $1,511.30	Professional		$570.13	$824.43	$1,511.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,009.29 / $1,225.71 / $1,667.33	Facility		$1,009.29	$1,225.71	$1,667.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $985.85 / $1,153.31	Facility		$640.00	$985.85	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.58 / $898.40 / $1,520.36	Professional		$589.58	$898.40	$1,520.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $950.22 / $1,570.31	Professional		$669.16	$950.22	$1,570.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,051.58 / $1,171.94	Professional		$909.02	$1,051.58	$1,171.94
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,570.00 / $2,665.00	Facility		$384.00	$1,570.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.46 / $851.31 / $1,437.72	Professional		$543.46	$851.31	$1,437.72