Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.49 / $3,391.00 / $6,915.00	Facility		$706.49	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $857.61 / $1,926.82	Professional		$375.01	$857.61	$1,926.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $1,026.98 / $4,492.58	Professional		$486.90	$1,026.98	$4,492.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,243.00 / $4,243.00 / $4,243.00	Facility		$4,243.00	$4,243.00	$4,243.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $974.00 / $1,371.00	Facility		$512.00	$974.00	$1,371.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $862.73 / $3,553.56	Professional		$420.15	$862.73	$3,553.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.13 / $929.40 / $3,067.84	Professional		$424.13	$929.40	$3,067.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6,646.20 / $8,058.50	Professional		$5.00	$6,646.20	$8,058.50
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.95 / $1,712.09 / $4,804.42	Professional		$918.95	$1,712.09	$4,804.42