Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.21 / $3,391.00 / $6,915.00	Facility		$928.21	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $718.37 / $1,289.28	Professional		$581.90	$718.37	$1,289.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.19 / $949.25 / $1,735.62	Professional		$604.19	$949.25	$1,735.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,018.57 / $1,018.57 / $1,018.57	Facility		$1,018.57	$1,018.57	$1,018.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $767.64 / $2,172.58	Facility		$640.00	$767.64	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $953.99 / $1,723.66	Professional		$642.40	$953.99	$1,723.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.88 / $1,019.00 / $1,651.52	Professional		$732.88	$1,019.00	$1,651.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $721.05 / $1,081.42 / $2,890.36	Professional		$721.05	$1,081.42	$2,890.36
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 $553.03 / $843.96 / $1,531.86	Professional		$553.03	$843.96	$1,531.86