Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.11 / $5,045.00 / $6,915.00	Facility		$830.11	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $546.80 / $1,130.44	Professional		$454.02	$546.80	$1,130.44
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 $507.79 / $742.53 / $1,317.34	Professional		$507.79	$742.53	$1,317.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $880.77 / $1,069.61 / $1,454.99	Facility		$880.77	$1,069.61	$1,454.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $2,172.58	Facility		$578.80	$578.80	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.44 / $792.08 / $1,281.91	Professional		$529.44	$792.08	$1,281.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.57 / $834.97 / $1,349.20	Professional		$558.57	$834.97	$1,349.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $655.04 / $886.46 / $2,196.98	Professional		$655.04	$886.46	$2,196.98
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 $462.93 / $736.54 / $1,297.80	Professional		$462.93	$736.54	$1,297.80