Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.81 / $5,045.00 / $6,915.00	Facility		$993.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.13 / $1,046.84 / $2,047.66	Professional		$828.13	$1,046.84	$2,047.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $55,752.34	Facility		$1,282.27	$5,155.99	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.67 / $1,379.87 / $2,496.52	Professional		$959.67	$1,379.87	$2,496.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,686.62 / $1,984.25 / $2,756.16	Facility		$1,686.62	$1,984.25	$2,756.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,094.01 / $2,500.00	Facility		$500.00	$1,094.01	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.43 / $1,514.70 / $2,469.67	Professional		$981.43	$1,514.70	$2,469.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.08 / $1,521.80 / $2,420.50	Professional		$1,058.08	$1,521.80	$2,420.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.30 / $1,698.30 / $1,731.39	Professional		$1,698.30	$1,698.30	$1,731.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,588.00 / $18,000.00	Facility		$3,800.00	$9,588.00	$18,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.84 / $1,297.31 / $2,195.62	Professional		$854.84	$1,297.31	$2,195.62