Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.25 / $674.43 / $885.33	Professional		$531.25	$674.43	$885.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.34 / $863.66 / $1,534.55	Professional		$599.34	$863.66	$1,534.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.21 / $1,262.48 / $1,895.63	Facility		$1,049.21	$1,262.48	$1,895.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $2,225.00 / $57,200.00	Facility		$683.24	$2,225.00	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.90 / $936.51 / $1,577.87	Professional		$614.90	$936.51	$1,577.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.36 / $1,104.18 / $3,368.94	Professional		$751.36	$1,104.18	$3,368.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.99 / $1,024.93 / $1,118.56	Professional		$511.99	$1,024.93	$1,118.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $11,923.00	Facility		$1,519.00	$6,689.00	$11,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $422.40 / $678.59	Professional		$252.45	$422.40	$678.59