Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.75 / $5,063.00 / $10,897.00	Facility		$1,262.75	$5,063.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.98 / $892.51 / $1,912.80	Professional		$737.98	$892.51	$1,912.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,799.60 / $21,112.96	Facility		$1,603.22	$5,799.60	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.00 / $1,158.43 / $2,140.80	Professional		$814.00	$1,158.43	$2,140.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,442.75 / $1,737.35 / $2,363.30	Facility		$1,442.75	$1,737.35	$2,363.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.52 / $938.52 / $9,125.94	Facility		$938.52	$938.52	$9,125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.97 / $1,288.95 / $2,108.26	Professional		$826.97	$1,288.95	$2,108.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.25 / $1,298.33 / $2,044.48	Professional		$907.25	$1,298.33	$2,044.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $824.77 / $1,266.00 / $1,471.92	Professional		$824.77	$1,266.00	$1,471.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.09 / $1,104.41 / $1,869.42	Professional		$730.09	$1,104.41	$1,869.42