Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $9,488.00	Facility		$1,791.00	$6,014.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.25 / $771.38 / $880.49	Professional		$692.25	$771.38	$880.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $1,031.07 / $1,159.96	Professional		$655.20	$1,031.07	$1,159.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,233.59 / $1,484.37 / $74,999.25	Facility		$1,233.59	$1,484.37	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $2,285.73 / $2,878.34	Facility		$778.00	$2,285.73	$2,878.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.21 / $1,163.23 / $1,955.68	Professional		$522.21	$1,163.23	$1,955.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $4,890.00 / $5,344.54	Professional		$883.00	$4,890.00	$5,344.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.27 / $1,356.87 / $1,542.32	Professional		$872.27	$1,356.87	$1,542.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.98 / $930.67 / $1,502.64	Professional		$650.98	$930.67	$1,502.64