Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.66 / $4,613.00 / $6,915.00	Facility		$920.66	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $811.67 / $1,795.32	Professional		$663.42	$811.67	$1,795.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.06 / $1,009.57 / $1,866.25	Professional		$680.06	$1,009.57	$1,866.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.50 / $1,069.50 / $1,069.50	Facility		$1,069.50	$1,069.50	$1,069.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.15 / $833.15 / $2,172.58	Facility		$833.15	$833.15	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.37 / $1,024.09 / $1,849.67	Professional		$684.37	$1,024.09	$1,849.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $1,199.05 / $1,764.28	Professional		$782.91	$1,199.05	$1,764.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $640.57 / $1,205.02 / $1,281.13	Professional		$640.57	$1,205.02	$1,281.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.87 / $1,013.68 / $1,618.38	Professional		$651.87	$1,013.68	$1,618.38