Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.14 / $5,045.00 / $6,915.00	Facility		$722.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.42 / $496.91 / $1,006.24	Professional		$380.42	$496.91	$1,006.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.13 / $644.25 / $1,147.83	Professional		$409.13	$644.25	$1,147.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.71 / $864.17 / $1,175.52	Facility		$715.71	$864.17	$1,175.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $2,172.58	Facility		$469.44	$469.44	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $712.96 / $1,069.39	Professional		$468.80	$712.96	$1,069.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $669.39 / $1,016.92	Professional		$451.28	$669.39	$1,016.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.07 / $720.07 / $738.44	Professional		$720.07	$720.07	$738.44
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 $424.56 / $667.85 / $1,043.92	Professional		$424.56	$667.85	$1,043.92