Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.80 / $5,045.00 / $6,915.00	Facility		$1,304.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $849.27 / $1,661.84	Professional		$695.04	$849.27	$1,661.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.77 / $1,165.70 / $2,099.03	Professional		$774.77	$1,165.70	$2,099.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,347.68 / $1,624.07 / $2,252.52	Facility		$1,347.68	$1,624.07	$2,252.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $4,830.16	Facility		$877.51	$877.51	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $1,252.34 / $1,971.02	Professional		$832.20	$1,252.34	$1,971.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.10 / $1,302.99 / $1,911.17	Professional		$848.10	$1,302.99	$1,911.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.83 / $1,226.93 / $1,426.35	Professional		$1,018.83	$1,226.93	$1,426.35
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 $682.24 / $1,146.35 / $1,874.70	Professional		$682.24	$1,146.35	$1,874.70