Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.41 / $4,368.00 / $6,915.00	Facility		$947.41	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $673.72 / $1,320.90	Professional		$516.58	$673.72	$1,320.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,200.42 / $2,098.00	Facility		$582.00	$1,200.42	$2,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.70 / $918.04 / $1,728.55	Professional		$580.70	$918.04	$1,728.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $980.25 / $980.25 / $980.25	Facility		$980.25	$980.25	$980.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $2,500.00	Facility		$669.01	$669.01	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.17 / $982.98 / $1,703.27	Professional		$647.17	$982.98	$1,703.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.81 / $929.12 / $1,679.38	Professional		$667.81	$929.12	$1,679.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $869.02 / $1,012.69 / $2,394.92	Professional		$869.02	$1,012.69	$2,394.92
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.30 / $828.61 / $1,510.77	Professional		$531.30	$828.61	$1,510.77