Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.92 / $5,045.00 / $6,915.00	Facility		$801.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.71 / $687.56 / $1,010.50	Professional		$542.71	$687.56	$1,010.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.12 / $738.04 / $1,373.67	Professional		$515.12	$738.04	$1,373.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $946.20 / $1,151.31 / $74,999.25	Facility		$946.20	$1,151.31	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,325.29 / $1,668.88	Facility		$630.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $785.11 / $1,447.32	Professional		$518.78	$785.11	$1,447.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.23 / $874.51 / $4,413.81	Professional		$601.23	$874.51	$4,413.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $708.99 / $808.69 / $852.65	Professional		$708.99	$808.69	$852.65
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.12 / $695.82 / $1,248.36	Professional		$515.12	$695.82	$1,248.36