Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,370.32 / $9,549.93	Facility		$912.01	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,122.02	Professional		$549.54	$660.69	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,548.13	Facility		$549.54	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,584.89	Professional		$575.44	$954.99	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,412.54	Professional		$549.54	$794.33	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,412.54	Professional		$616.60	$812.83	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,174.90 / $1,584.89	Professional		$7.08	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,288.25	Professional		$537.03	$724.44	$1,288.25