Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,063.00 / $6,915.00	Facility		$984.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.90 / $790.09 / $1,606.59	Professional		$649.90	$790.09	$1,606.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.03 / $1,033.46 / $1,909.87	Professional		$728.03	$1,033.46	$1,909.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.36 / $1,550.16 / $2,108.67	Facility		$1,282.36	$1,550.16	$2,108.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $2,172.58	Facility		$838.09	$838.09	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.05 / $1,134.17 / $1,901.89	Professional		$737.05	$1,134.17	$1,901.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.50 / $986.85 / $1,824.20	Professional		$809.50	$986.85	$1,824.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $974.05 / $1,030.27 / $1,299.22	Professional		$974.05	$1,030.27	$1,299.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $985.49 / $1,657.34	Professional		$646.35	$985.49	$1,657.34