Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.29 / $5,405.00 / $10,572.00	Facility		$870.29	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $534.41 / $1,065.74	Professional		$438.55	$534.41	$1,065.74
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 $490.97 / $703.77 / $1,273.31	Professional		$490.97	$703.77	$1,273.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.84 / $1,034.21 / $1,406.82	Facility		$852.84	$1,034.21	$1,406.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $5,845.00 / $10,047.00	Facility		$559.46	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.37 / $760.42 / $1,239.34	Professional		$503.37	$760.42	$1,239.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.07 / $762.22 / $1,321.88	Professional		$540.07	$762.22	$1,321.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $633.35 / $711.91 / $892.50	Professional		$633.35	$711.91	$892.50
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 $429.46 / $675.00 / $1,129.13	Professional		$429.46	$675.00	$1,129.13