Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $5,045.00 / $6,915.00	Facility		$653.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $716.94 / $1,165.58	Professional		$547.29	$716.94	$1,165.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.48 / $895.24 / $1,711.09	Professional		$599.48	$895.24	$1,711.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.85 / $1,338.51 / $1,820.76	Facility		$1,119.85	$1,338.51	$1,820.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $1,612.86	Facility		$724.03	$724.03	$1,612.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.57 / $981.18 / $1,714.27	Professional		$641.57	$981.18	$1,714.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.76 / $1,016.70 / $1,837.66	Professional		$730.76	$1,016.70	$1,837.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.90 / $1,157.43 / $1,183.63	Professional		$1,032.90	$1,157.43	$1,183.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $834.03 / $1,654.32	Professional		$552.41	$834.03	$1,654.32