Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.09 / $4,592.00 / $6,915.00	Facility		$576.09	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.28 / $871.16 / $1,901.11	Professional		$343.28	$871.16	$1,901.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $3,132.87 / $6,821.66	Facility		$1,135.89	$3,132.87	$6,821.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.83 / $995.52 / $2,100.41	Professional		$436.83	$995.52	$2,100.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $586.44 / $693.71 / $999.75	Facility		$586.44	$693.71	$999.75
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 $437.20 / $987.34 / $2,191.55	Professional		$437.20	$987.34	$2,191.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $850.74 / $3,054.41	Professional		$395.18	$850.74	$3,054.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $782.21 / $1,562.53	Professional		$365.90	$782.21	$1,562.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $10,000.00	Facility		$1,519.00	$6,689.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.96 / $1,399.65 / $2,348.02	Professional		$902.96	$1,399.65	$2,348.02