Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.15 / $5,045.00 / $6,915.00	Facility		$735.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.94 / $766.07 / $1,428.68	Professional		$604.94	$766.07	$1,428.68
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 $676.00 / $1,003.87 / $1,802.93	Professional		$676.00	$1,003.87	$1,802.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,235.06 / $1,498.77 / $2,038.77	Facility		$1,235.06	$1,498.77	$2,038.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $810.92 / $2,500.00	Facility		$500.00	$810.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.11 / $1,067.09 / $1,825.97	Professional		$705.11	$1,067.09	$1,825.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.67 / $1,127.82 / $1,763.75	Professional		$782.67	$1,127.82	$1,763.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,262.00 / $1,280.74	Professional		$1,262.00	$1,262.00	$1,280.74
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 $615.49 / $942.55 / $1,619.98	Professional		$615.49	$942.55	$1,619.98