Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.90 / $5,045.00 / $6,915.00	Facility		$962.90	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $616.25 / $1,204.05	Professional		$506.19	$616.25	$1,204.05
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 $566.83 / $841.13 / $1,525.08	Professional		$566.83	$841.13	$1,525.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,171.33 / $1,171.33 / $1,171.33	Facility		$1,171.33	$1,171.33	$1,171.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $643.16 / $2,172.58	Facility		$643.16	$643.16	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.66 / $899.52 / $1,452.34	Professional		$604.66	$899.52	$1,452.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.97 / $935.81 / $1,399.34	Professional		$620.97	$935.81	$1,399.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $745.68 / $902.19 / $1,044.35	Professional		$745.68	$902.19	$1,044.35
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 $495.21 / $829.31 / $1,300.79	Professional		$495.21	$829.31	$1,300.79