Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.26 / $3,391.00 / $6,915.00	Facility		$817.26	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $587.84 / $1,133.36	Professional		$480.66	$587.84	$1,133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,934.64 / $9,836.54	Facility		$776.14	$2,934.64	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.66 / $771.30 / $1,425.38	Professional		$522.66	$771.30	$1,425.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $956.33 / $1,157.19 / $1,574.12	Facility		$956.33	$1,157.19	$1,574.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $625.67 / $2,500.00	Facility		$500.00	$625.67	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.84 / $839.24 / $1,409.93	Professional		$536.84	$839.24	$1,409.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.29 / $878.98 / $2,260.66	Professional		$604.29	$878.98	$2,260.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $850.63 / $980.41 / $1,016.32	Professional		$850.63	$980.41	$1,016.32
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 $470.87 / $681.51 / $1,237.21	Professional		$470.87	$681.51	$1,237.21