Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.48 / $2,595.00 / $6,915.00	Facility		$577.48	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.73 / $577.48 / $1,134.32	Professional		$467.73	$577.48	$1,134.32
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 $511.73 / $726.74 / $1,340.65	Professional		$511.73	$726.74	$1,340.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $896.84 / $1,092.41 / $1,485.99	Facility		$896.84	$1,092.41	$1,485.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $876.58 / $1,153.31	Facility		$640.00	$876.58	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.36 / $786.16 / $1,364.62	Professional		$521.36	$786.16	$1,364.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.39 / $796.24 / $1,409.43	Professional		$596.39	$796.24	$1,409.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.74 / $943.86 / $1,050.75	Professional		$807.74	$943.86	$1,050.75
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $743.62 / $1,280.52	Professional		$486.76	$743.62	$1,280.52