Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $4,507.00 / $6,915.00	Facility		$638.39	$4,507.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.44 / $638.39 / $1,232.08	Professional		$422.44	$638.39	$1,232.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.01 / $694.08 / $1,257.70	Professional		$521.01	$694.08	$1,257.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.88 / $1,097.48 / $1,583.06	Facility		$904.88	$1,097.48	$1,583.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.51 / $883.51 / $4,830.16	Facility		$883.51	$883.51	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.98 / $830.24 / $1,512.17	Professional		$538.98	$830.24	$1,512.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.21 / $922.64 / $1,903.86	Professional		$625.21	$922.64	$1,903.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $695.88 / $945.02 / $1,370.67	Professional		$695.88	$945.02	$1,370.67
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 $563.65 / $910.53 / $1,661.19	Professional		$563.65	$910.53	$1,661.19