Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.78 / $5,063.00 / $14,490.00	Facility		$1,047.78	$5,063.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.25 / $730.40 / $1,516.79	Professional		$564.25	$730.40	$1,516.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $6,782.54 / $21,112.96	Facility		$2,206.31	$6,782.54	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.83 / $956.42 / $1,729.83	Professional		$668.83	$956.42	$1,729.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,161.81 / $1,403.12 / $1,908.65	Facility		$1,161.81	$1,403.12	$1,908.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.48 / $758.48 / $4,830.16	Facility		$758.48	$758.48	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.85 / $1,046.72 / $1,697.75	Professional		$693.85	$1,046.72	$1,697.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.71 / $1,040.36 / $1,881.33	Professional		$732.71	$1,040.36	$1,881.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.14 / $1,177.14 / $1,198.98	Professional		$1,177.14	$1,177.14	$1,198.98
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 $586.53 / $895.92 / $1,511.06	Professional		$586.53	$895.92	$1,511.06