Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.26 / $4,592.00 / $6,915.00	Facility		$515.26	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.21 / $1,504.32 / $2,822.31	Professional		$361.21	$1,504.32	$2,822.31
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 $424.91 / $1,165.86 / $3,165.63	Professional		$424.91	$1,165.86	$3,165.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.90 / $693.32 / $999.20	Facility		$581.90	$693.32	$999.20
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 $387.28 / $1,005.01 / $3,186.77	Professional		$387.28	$1,005.01	$3,186.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $1,475.24 / $3,786.65	Professional		$394.97	$1,475.24	$3,786.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $536.71 / $635.25 / $2,654.83	Professional		$536.71	$635.25	$2,654.83
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 $1,372.09 / $1,866.73 / $3,304.98	Professional		$1,372.09	$1,866.73	$3,304.98