Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.98 / $5,405.00 / $10,572.00	Facility		$812.98	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $495.22 / $959.44	Professional		$406.11	$495.22	$959.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.60 / $650.07 / $1,176.15	Professional		$454.60	$650.07	$1,176.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.58 / $968.00 / $1,316.76	Facility		$797.58	$968.00	$1,316.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $5,845.00 / $10,047.00	Facility		$523.76	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.31 / $706.96 / $1,151.88	Professional		$468.31	$706.96	$1,151.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.49 / $708.44 / $1,139.11	Professional		$505.49	$708.44	$1,139.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.80 / $666.33 / $838.48	Professional		$592.80	$666.33	$838.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $630.89 / $1,027.05	Professional		$398.48	$630.89	$1,027.05