Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.99 / $3,295.00 / $6,915.00	Facility		$919.99	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $967.99 / $1,890.73	Professional		$805.01	$967.99	$1,890.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.93 / $1,303.52 / $2,317.98	Professional		$895.93	$1,303.52	$2,317.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,562.28 / $1,878.99 / $2,555.96	Facility		$1,562.28	$1,878.99	$2,555.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,014.77 / $4,830.16	Facility		$860.00	$1,014.77	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.37 / $1,412.34 / $2,285.40	Professional		$948.37	$1,412.34	$2,285.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.22 / $1,399.64 / $2,331.73	Professional		$981.22	$1,399.64	$2,331.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $906.16 / $1,419.52 / $3,971.10	Professional		$906.16	$1,419.52	$3,971.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.69 / $1,291.01 / $2,326.60	Professional		$810.69	$1,291.01	$2,326.60