Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.82 / $5,045.00 / $6,915.00	Facility		$901.82	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.14 / $647.17 / $1,253.41	Professional		$541.14	$647.17	$1,253.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.12 / $865.75 / $1,566.37	Professional		$597.12	$865.75	$1,566.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.22 / $1,269.80 / $1,727.30	Facility		$1,049.22	$1,269.80	$1,727.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $4,830.16	Facility		$686.69	$686.69	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.74 / $926.86 / $1,530.88	Professional		$611.74	$926.86	$1,530.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $917.88 / $1,494.30	Professional		$663.10	$917.88	$1,494.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.82 / $1,075.82 / $1,075.82	Professional		$1,075.82	$1,075.82	$1,075.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $825.76 / $1,373.77	Professional		$528.54	$825.76	$1,373.77