Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.04 / $3,668.13 / $6,915.00	Facility		$913.04	$3,668.13	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $984.32 / $1,504.50	Professional		$663.26	$984.32	$1,504.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.87 / $1,055.33 / $1,967.86	Professional		$767.87	$1,055.33	$1,967.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,351.23 / $1,589.69 / $74,999.25	Facility		$1,351.23	$1,589.69	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.07 / $5,008.00 / $9,852.00	Facility		$539.07	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.11 / $1,162.58 / $2,097.31	Professional		$735.11	$1,162.58	$2,097.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.46 / $1,218.69 / $6,326.03	Professional		$898.46	$1,218.69	$6,326.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.65 / $1,246.29 / $1,706.38	Professional		$1,024.65	$1,246.29	$1,706.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.45 / $1,086.09 / $2,034.65	Professional		$812.45	$1,086.09	$2,034.65