Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.04 / $4,368.00 / $6,915.00	Facility		$957.04	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $582.87 / $1,189.64	Professional		$476.19	$582.87	$1,189.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.86 / $836.84 / $1,510.48	Professional		$531.86	$836.84	$1,510.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.58 / $1,393.58 / $1,393.58	Facility		$1,393.58	$1,393.58	$1,393.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $2,172.58	Facility		$602.99	$602.99	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $886.66 / $1,399.27	Professional		$579.15	$886.66	$1,399.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.80 / $870.43 / $1,391.00	Professional		$582.80	$870.43	$1,391.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $914.80 / $980.19	Professional		$761.59	$914.80	$980.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $854.25 / $1,381.15	Professional		$472.54	$854.25	$1,381.15