Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.66 / $5,045.00 / $6,915.00	Facility		$1,002.66	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $677.27 / $1,468.70	Professional		$555.50	$677.27	$1,468.70
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 $621.38 / $925.78 / $1,678.65	Professional		$621.38	$925.78	$1,678.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.83 / $1,303.68 / $1,773.39	Facility		$1,077.83	$1,303.68	$1,773.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.92 / $704.92 / $2,172.58	Facility		$704.92	$704.92	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.70 / $965.49 / $1,571.98	Professional		$651.70	$965.49	$1,571.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.79 / $1,031.66 / $1,534.16	Professional		$680.79	$1,031.66	$1,534.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.61 / $1,093.61 / $1,114.03	Professional		$1,093.61	$1,093.61	$1,114.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.28 / $912.83 / $1,443.79	Professional		$543.28	$912.83	$1,443.79