Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.69 / $5,405.00 / $10,572.00	Facility		$878.69	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $616.85 / $1,270.01	Professional		$488.29	$616.85	$1,270.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $3,107.04 / $13,523.26	Facility		$878.93	$3,107.04	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.60 / $812.04 / $1,500.68	Professional		$547.60	$812.04	$1,500.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $1,218.33 / $1,657.29	Facility		$1,004.00	$1,218.33	$1,657.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $5,845.00 / $10,047.00	Facility		$659.16	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.78 / $888.92 / $1,481.19	Professional		$564.78	$888.92	$1,481.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.22 / $867.57 / $1,510.74	Professional		$636.22	$867.57	$1,510.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.46 / $993.89 / $1,729.73	Professional		$549.46	$993.89	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.77 / $761.59 / $1,310.45	Professional		$501.77	$761.59	$1,310.45