Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.57 / $3,460.00 / $6,915.00	Facility		$520.57	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $1,071.00 / $1,802.28	Professional		$348.10	$1,071.00	$1,802.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $3,640.00 / $8,545.91	Facility		$1,034.84	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.71 / $973.61 / $2,084.84	Professional		$409.71	$973.61	$2,084.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $561.89 / $669.84 / $965.36	Facility		$561.89	$669.84	$965.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.75 / $963.89 / $2,543.50	Professional		$407.75	$963.89	$2,543.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.59 / $1,180.59 / $1,609.91	Professional		$381.59	$1,180.59	$1,609.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.78 / $1,119.83 / $2,179.06	Professional		$350.78	$1,119.83	$2,179.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,102.00 / $18,613.00	Facility		$1,998.00	$9,102.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.99 / $1,390.54 / $2,594.84	Professional		$1,098.99	$1,390.54	$2,594.84