Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.34 / $5,045.00 / $6,915.00	Facility		$949.34	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.76 / $1,048.75 / $2,128.29	Professional		$805.76	$1,048.75	$2,128.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $19,414.96	Facility		$1,478.38	$5,842.74	$19,414.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,291.78 / $2,530.44	Professional		$880.51	$1,291.78	$2,530.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.26 / $1,337.26 / $1,337.26	Facility		$1,337.26	$1,337.26	$1,337.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.24 / $2,500.00	Facility		$500.00	$1,050.24	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.17 / $1,455.50 / $2,585.21	Professional		$921.17	$1,455.50	$2,585.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.58 / $1,465.86 / $2,750.70	Professional		$1,053.58	$1,465.86	$2,750.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.14 / $1,668.46 / $1,694.90	Professional		$1,476.14	$1,668.46	$1,694.90
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.54 / $1,238.41 / $2,133.89	Professional		$812.54	$1,238.41	$2,133.89