Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.03 / $4,592.00 / $6,915.00	Facility		$802.03	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $652.95 / $1,632.85	Professional		$505.35	$652.95	$1,632.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.51 / $805.15 / $1,592.04	Professional		$546.51	$805.15	$1,592.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.38 / $837.38 / $837.38	Facility		$837.38	$837.38	$837.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $658.46 / $1,272.50	Facility		$640.00	$658.46	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.84 / $903.38 / $1,572.71	Professional		$571.84	$903.38	$1,572.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.89 / $912.54 / $2,287.04	Professional		$655.89	$912.54	$2,287.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.82 / $931.68 / $1,855.92	Professional		$541.82	$931.68	$1,855.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.44 / $747.93 / $1,487.84	Professional		$499.44	$747.93	$1,487.84