Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.79 / $5,045.00 / $6,915.00	Facility		$769.79	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $464.92 / $1,003.89	Professional		$386.45	$464.92	$1,003.89
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 $422.71 / $643.41 / $1,145.20	Professional		$422.71	$643.41	$1,145.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.14 / $750.14 / $750.14	Facility		$750.14	$750.14	$750.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $7,797.37	Facility		$487.10	$487.10	$7,797.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.81 / $698.30 / $1,090.95	Professional		$462.81	$698.30	$1,090.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $677.22 / $1,223.83	Professional		$463.29	$677.22	$1,223.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.75 / $684.42 / $779.16	Professional		$646.75	$684.42	$779.16
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 $378.55 / $636.28 / $991.56	Professional		$378.55	$636.28	$991.56