Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $5,045.00 / $6,915.00	Facility		$937.40	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $705.61 / $1,427.45	Professional		$586.47	$705.61	$1,427.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.50 / $965.91 / $1,730.41	Professional		$610.50	$965.91	$1,730.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.45 / $1,026.45 / $1,026.45	Facility		$1,026.45	$1,026.45	$1,026.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $4,830.16	Facility		$781.05	$781.05	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.29 / $951.64 / $1,704.97	Professional		$631.29	$951.64	$1,704.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.17 / $1,006.20 / $1,681.46	Professional		$746.17	$1,006.20	$1,681.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $733.46 / $1,100.33 / $2,944.90	Professional		$733.46	$1,100.33	$2,944.90
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 $560.15 / $874.23 / $1,558.76	Professional		$560.15	$874.23	$1,558.76