Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.26 / $5,045.00 / $6,915.00	Facility		$902.26	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.60 / $616.64 / $1,170.57	Professional		$506.60	$616.64	$1,170.57
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 $567.37 / $814.80 / $1,471.72	Professional		$567.37	$814.80	$1,471.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $985.40 / $1,195.14 / $1,625.73	Facility		$985.40	$1,195.14	$1,625.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $4,830.16	Facility		$646.51	$646.51	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.82 / $883.78 / $1,431.33	Professional		$587.82	$883.78	$1,431.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.11 / $944.77 / $1,406.42	Professional		$624.11	$944.77	$1,406.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $887.88 / $1,012.55 / $1,049.63	Professional		$887.88	$1,012.55	$1,049.63
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 $494.50 / $797.01 / $1,284.03	Professional		$494.50	$797.01	$1,284.03