Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.12 / $4,592.00 / $6,915.00	Facility		$633.12	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $613.95 / $1,196.11	Professional		$404.60	$613.95	$1,196.11
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 $434.68 / $610.79 / $1,124.60	Professional		$434.68	$610.79	$1,124.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.54 / $771.54 / $771.54	Facility		$771.54	$771.54	$771.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $739.15 / $2,172.58	Facility		$739.15	$739.15	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.94 / $745.97 / $1,336.44	Professional		$473.94	$745.97	$1,336.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.27 / $733.28 / $1,450.29	Professional		$518.27	$733.28	$1,450.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $673.75 / $911.80 / $1,053.14	Professional		$673.75	$911.80	$1,053.14
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 $497.30 / $759.21 / $1,346.38	Professional		$497.30	$759.21	$1,346.38