Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.60 / $4,592.00 / $6,915.00	Facility		$589.60	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $572.90 / $1,092.68	Professional		$392.11	$572.90	$1,092.68
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 $405.30 / $620.33 / $1,102.18	Professional		$405.30	$620.33	$1,102.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.36 / $870.36 / $870.36	Facility		$870.36	$870.36	$870.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $2,172.58	Facility		$701.30	$701.30	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.49 / $750.68 / $1,281.04	Professional		$492.49	$750.68	$1,281.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.94 / $705.74 / $1,365.81	Professional		$483.94	$705.74	$1,365.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $629.12 / $746.07 / $1,019.33	Professional		$629.12	$746.07	$1,019.33
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 $506.00 / $797.96 / $1,262.33	Professional		$506.00	$797.96	$1,262.33