Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.93 / $5,063.00 / $7,391.00	Facility		$665.93	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.29 / $511.66 / $1,026.46	Professional		$412.29	$511.66	$1,026.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.26 / $661.24 / $1,213.85	Professional		$444.26	$661.24	$1,213.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.06 / $974.61 / $1,349.76	Facility		$818.06	$974.61	$1,349.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $4,830.16	Facility		$536.77	$536.77	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.51 / $695.89 / $1,187.74	Professional		$463.51	$695.89	$1,187.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.16 / $727.18 / $1,167.67	Professional		$518.16	$727.18	$1,167.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.30 / $758.64 / $847.90	Professional		$706.30	$758.64	$847.90
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 $410.52 / $605.67 / $1,067.09	Professional		$410.52	$605.67	$1,067.09