Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,391.00 / $6,915.00	Facility		$1,061.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $744.28 / $1,445.02	Professional		$621.91	$744.28	$1,445.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.54 / $995.91 / $1,801.86	Professional		$663.54	$995.91	$1,801.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,212.20 / $1,465.68 / $1,993.76	Facility		$1,212.20	$1,465.68	$1,993.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $792.33 / $1,153.31	Facility		$640.00	$792.33	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.31 / $1,072.43 / $1,760.32	Professional		$708.31	$1,072.43	$1,760.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.39 / $1,043.72 / $1,724.77	Professional		$765.39	$1,043.72	$1,724.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.08 / $1,241.77 / $1,287.25	Professional		$1,078.08	$1,241.77	$1,287.25
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $928.71 / $1,573.45	Professional		$608.01	$928.71	$1,573.45