Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.27 / $5,045.00 / $6,915.00	Facility		$800.27	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $865.09 / $2,023.31	Professional		$718.24	$865.09	$2,023.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.63 / $1,020.08 / $1,761.56	Professional		$728.63	$1,020.08	$1,761.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.11 / $1,503.45 / $2,308.88	Facility		$1,380.11	$1,503.45	$2,308.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,216.10 / $1,957.15	Professional		$819.00	$1,216.10	$1,957.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.97 / $939.86 / $1,470.54	Professional		$722.97	$939.86	$1,470.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.79 / $1,048.31 / $1,217.06	Professional		$1,002.79	$1,048.31	$1,217.06
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $985.24 / $1,715.93	Professional		$735.82	$985.24	$1,715.93