Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.59 / $5,045.00 / $6,915.00	Facility		$872.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $647.57 / $1,265.48	Professional		$531.85	$647.57	$1,265.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.66 / $847.58 / $1,566.37	Professional		$574.66	$847.58	$1,566.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.50 / $1,271.25 / $1,729.28	Facility		$1,050.50	$1,271.25	$1,729.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $1,349.77	Facility		$687.42	$687.42	$1,349.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.13 / $896.82 / $1,532.63	Professional		$609.13	$896.82	$1,532.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.86 / $966.29 / $1,495.99	Professional		$663.86	$966.29	$1,495.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.54 / $1,065.54 / $1,086.32	Professional		$1,065.54	$1,065.54	$1,086.32
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.88 / $796.12 / $1,367.81	Professional		$527.88	$796.12	$1,367.81