Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.34 / $5,045.00 / $6,915.00	Facility		$897.34	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.49 / $670.82 / $1,401.18	Professional		$524.49	$670.82	$1,401.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.27 / $863.26 / $1,589.28	Professional		$598.27	$863.26	$1,589.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.57 / $1,295.99 / $1,762.94	Facility		$1,070.57	$1,295.99	$1,762.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $6,927.22	Facility		$700.82	$700.82	$6,927.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.49 / $925.65 / $1,559.56	Professional		$610.49	$925.65	$1,559.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.79 / $952.65 / $1,525.10	Professional		$676.79	$952.65	$1,525.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $943.42 / $987.43 / $1,138.23	Professional		$943.42	$987.43	$1,138.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $16,000.00	Facility		$3,293.00	$9,062.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.12 / $793.39 / $1,433.68	Professional		$522.12	$793.39	$1,433.68