Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.57 / $5,045.00 / $6,915.00	Facility		$875.57	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.30 / $623.61 / $1,357.93	Professional		$521.30	$623.61	$1,357.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $819.63 / $1,504.60	Professional		$568.94	$819.63	$1,504.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.49 / $1,230.39 / $1,673.69	Facility		$1,015.49	$1,230.39	$1,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $1,153.31	Facility		$665.48	$665.48	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.37 / $901.16 / $1,473.97	Professional		$584.37	$901.16	$1,473.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.51 / $911.68 / $1,755.06	Professional		$642.51	$911.68	$1,755.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.41 / $1,042.41 / $1,042.41	Professional		$1,042.41	$1,042.41	$1,042.41
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 $510.10 / $759.47 / $1,322.69	Professional		$510.10	$759.47	$1,322.69