Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.18 / $5,045.00 / $6,915.00	Facility		$725.18	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.45 / $760.69 / $1,479.26	Professional		$634.45	$760.69	$1,479.26
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 $704.21 / $1,053.30 / $1,916.64	Professional		$704.21	$1,053.30	$1,916.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.66 / $1,446.65 / $2,017.85	Facility		$1,229.66	$1,446.65	$2,017.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $801.63 / $2,500.00	Facility		$500.00	$801.63	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.57 / $1,116.33 / $1,798.07	Professional		$744.57	$1,116.33	$1,798.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.63 / $1,189.70 / $1,745.63	Professional		$774.63	$1,189.70	$1,745.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.10 / $1,245.10 / $1,267.58	Professional		$1,245.10	$1,245.10	$1,267.58
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 $621.19 / $1,014.94 / $1,613.10	Professional		$621.19	$1,014.94	$1,613.10