Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.41 / $5,045.00 / $6,915.00	Facility		$1,163.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $925.30 / $1,688.57	Professional		$741.90	$925.30	$1,688.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.47 / $1,209.02 / $2,219.42	Professional		$794.47	$1,209.02	$2,219.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,466.63 / $1,794.36 / $2,440.86	Facility		$1,466.63	$1,794.36	$2,440.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $976.05 / $2,500.00	Facility		$500.00	$976.05	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.97 / $1,250.34 / $2,207.66	Professional		$818.97	$1,250.34	$2,207.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.04 / $1,363.51 / $2,111.57	Professional		$937.04	$1,363.51	$2,111.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.91 / $1,519.91 / $1,533.33	Professional		$1,519.91	$1,519.91	$1,533.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.39 / $1,097.44 / $1,951.05	Professional		$726.39	$1,097.44	$1,951.05