Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,133.00 / $5,809.00 / $14,497.00	Facility		$3,133.00	$5,809.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $574.04 / $751.99	Professional		$412.89	$574.04	$751.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.37 / $1,014.80 / $1,177.45	Professional		$574.37	$1,014.80	$1,177.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $472.27 / $472.27 / $472.27	Professional		$472.27	$472.27	$472.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,275.00 / $2,194.00	Facility		$200.00	$1,275.00	$2,194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.28 / $875.85 / $1,316.73	Professional		$487.28	$875.85	$1,316.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.36 / $909.17 / $8,510.91	Professional		$699.36	$909.17	$8,510.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.83 / $761.54 / $1,871.25	Professional		$433.83	$761.54	$1,871.25