Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.15 / $4,009.40 / $6,915.00	Facility		$869.15	$4,009.40	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.85 / $607.19 / $1,270.36	Professional		$503.85	$607.19	$1,270.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.99 / $825.77 / $1,515.62	Professional		$546.99	$825.77	$1,515.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,032.83 / $1,255.04 / $1,707.21	Facility		$1,032.83	$1,255.04	$1,707.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $1,153.31	Facility		$679.25	$679.25	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.96 / $864.66 / $1,493.45	Professional		$546.96	$864.66	$1,493.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.38 / $856.18 / $1,476.91	Professional		$655.38	$856.18	$1,476.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $929.59 / $989.03 / $1,078.64	Professional		$929.59	$989.03	$1,078.64
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.51 / $775.19 / $1,341.80	Professional		$490.51	$775.19	$1,341.80