Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.19 / $4,368.00 / $6,915.00	Facility		$899.19	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.12 / $676.63 / $1,208.19	Professional		$553.12	$676.63	$1,208.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $893.48 / $1,625.94	Professional		$581.41	$893.48	$1,625.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $906.41 / $906.41 / $906.41	Facility		$906.41	$906.41	$906.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $1,153.31	Facility		$722.52	$722.52	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $891.10 / $1,622.46	Professional		$594.29	$891.10	$1,622.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.55 / $940.29 / $1,553.86	Professional		$689.55	$940.29	$1,553.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $712.32 / $881.16 / $1,111.10	Professional		$712.32	$881.16	$1,111.10
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 $523.88 / $789.24 / $1,411.75	Professional		$523.88	$789.24	$1,411.75