Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.57 / $4,592.00 / $6,915.00	Facility		$871.57	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.45 / $619.69 / $1,202.36	Professional		$519.45	$619.69	$1,202.36
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 $562.10 / $824.47 / $1,506.11	Professional		$562.10	$824.47	$1,506.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.85 / $837.85 / $837.85	Facility		$837.85	$837.85	$837.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $2,172.58	Facility		$665.11	$665.11	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.41 / $882.51 / $1,465.60	Professional		$593.41	$882.51	$1,465.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $902.96 / $1,443.96	Professional		$640.77	$902.96	$1,443.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.36 / $874.43 / $2,409.82	Professional		$707.36	$874.43	$2,409.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.21 / $761.31 / $1,311.89	Professional		$495.21	$761.31	$1,311.89