Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $3,430.00 / $7,245.00	Facility		$988.00	$3,430.00	$7,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.86 / $640.98 / $841.88	Professional		$504.86	$640.98	$841.88
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 $405.32 / $680.64 / $1,383.45	Professional		$405.32	$680.64	$1,383.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.38 / $1,173.05 / $1,632.03	Facility		$565.38	$1,173.05	$1,632.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $2,225.00 / $57,200.00	Facility		$648.78	$2,225.00	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.09 / $888.84 / $1,500.24	Professional		$584.09	$888.84	$1,500.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.04 / $1,049.32 / $3,201.77	Professional		$714.04	$1,049.32	$3,201.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.89 / $832.02 / $908.05	Professional		$511.89	$832.02	$908.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,268.00 / $8,836.00	Facility		$1,800.00	$6,268.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $378.70 / $657.65	Professional		$224.86	$378.70	$657.65