Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.62 / $5,045.00 / $6,915.00	Facility		$863.62	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $863.52 / $1,697.23	Professional		$706.44	$863.52	$1,697.23
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 $718.15 / $1,088.22 / $2,056.77	Professional		$718.15	$1,088.22	$2,056.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $833.96 / $833.96 / $833.96	Facility		$833.96	$833.96	$833.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.02 / $908.02 / $2,172.58	Facility		$908.02	$908.02	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.20 / $1,090.34 / $2,037.85	Professional		$669.20	$1,090.34	$2,037.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.75 / $1,345.74 / $1,977.98	Professional		$877.75	$1,345.74	$1,977.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.29 / $1,323.19 / $1,476.21	Professional		$1,148.29	$1,323.19	$1,476.21
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 $658.04 / $965.87 / $1,808.08	Professional		$658.04	$965.87	$1,808.08