Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.03 / $5,045.00 / $6,915.00	Facility		$739.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $774.12 / $1,482.17	Professional		$645.90	$774.12	$1,482.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.76 / $1,066.14 / $1,867.34	Professional		$721.76	$1,066.14	$1,867.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.30 / $1,522.17 / $2,070.60	Facility		$1,259.30	$1,522.17	$2,070.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $823.20 / $2,500.00	Facility		$500.00	$823.20	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.70 / $1,133.78 / $1,828.63	Professional		$758.70	$1,133.78	$1,828.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.88 / $1,200.24 / $1,791.26	Professional		$794.88	$1,200.24	$1,791.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.29 / $1,270.29 / $1,300.72	Professional		$1,270.29	$1,270.29	$1,300.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.49 / $1,023.40 / $1,630.63	Professional		$643.49	$1,023.40	$1,630.63