Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.27 / $5,045.00 / $6,915.00	Facility		$752.27	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.74 / $783.97 / $1,463.74	Professional		$635.74	$783.97	$1,463.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.33 / $1,027.44 / $1,898.75	Professional		$687.33	$1,027.44	$1,898.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,266.03 / $1,536.12 / $2,089.58	Facility		$1,266.03	$1,536.12	$2,089.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $831.01 / $2,500.00	Facility		$500.00	$831.01	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.36 / $1,092.86 / $1,867.98	Professional		$736.36	$1,092.86	$1,867.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.18 / $1,178.99 / $1,807.70	Professional		$802.18	$1,178.99	$1,807.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,312.66	Professional		$1,291.65	$1,291.65	$1,312.66
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 $631.62 / $949.41 / $1,658.05	Professional		$631.62	$949.41	$1,658.05