Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.90 / $4,841.00 / $6,915.00	Facility		$1,071.90	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.62 / $910.54 / $1,640.42	Professional		$717.62	$910.54	$1,640.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $970.60 / $1,809.85	Professional		$688.54	$970.60	$1,809.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,251.41 / $1,517.97 / $74,999.25	Facility		$1,251.41	$1,517.97	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.23 / $1,043.24 / $1,917.82	Professional		$694.23	$1,043.24	$1,917.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.69 / $1,153.01 / $5,826.29	Professional		$792.69	$1,153.01	$5,826.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $934.11 / $1,065.47 / $1,124.19	Professional		$934.11	$1,065.47	$1,124.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $4,500.00 / $6,995.00	Facility		$1,214.00	$4,500.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.23 / $921.72 / $1,658.90	Professional		$683.23	$921.72	$1,658.90