Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.06 / $4,829.00 / $6,915.00	Facility		$922.06	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.87 / $646.95 / $1,586.19	Professional		$531.87	$646.95	$1,586.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.04 / $855.65 / $1,542.09	Professional		$596.04	$855.65	$1,542.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.14 / $1,251.72 / $1,702.71	Facility		$1,033.14	$1,251.72	$1,702.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $5,845.00 / $9,852.00	Facility		$677.02	$5,845.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $923.66 / $1,531.13	Professional		$610.34	$923.66	$1,531.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $920.85 / $2,050.08	Professional		$653.66	$920.85	$2,050.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $927.67 / $1,060.50 / $1,099.33	Professional		$927.67	$1,060.50	$1,099.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $780.99 / $1,346.61	Professional		$519.04	$780.99	$1,346.61