Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.26 / $3,391.00 / $10,897.00	Facility		$681.26	$3,391.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.66 / $484.53 / $938.86	Professional		$405.66	$484.53	$938.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $3,654.66 / $21,112.96	Facility		$741.08	$3,654.66	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.80 / $651.85 / $1,183.25	Professional		$453.80	$651.85	$1,183.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.13 / $930.74 / $1,307.35	Facility		$791.13	$930.74	$1,307.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $520.03 / $2,172.58	Facility		$520.03	$520.03	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.06 / $696.07 / $1,145.09	Professional		$467.06	$696.07	$1,145.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.89 / $692.72 / $1,131.00	Professional		$501.89	$692.72	$1,131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $804.92 / $804.92 / $821.26	Professional		$804.92	$804.92	$821.26
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 $396.34 / $616.72 / $1,027.54	Professional		$396.34	$616.72	$1,027.54