Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.79 / $4,368.00 / $6,915.00	Facility		$692.79	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.98 / $602.78 / $895.29	Professional		$475.98	$602.78	$895.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $3,392.46 / $8,094.63	Facility		$756.00	$3,392.46	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.53 / $648.25 / $1,208.77	Professional		$436.53	$648.25	$1,208.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $830.40 / $1,013.04 / $74,999.25	Facility		$830.40	$1,013.04	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $5,008.00 / $9,852.00	Facility		$2,116.42	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $672.16 / $1,270.63	Professional		$448.78	$672.16	$1,270.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $758.20 / $3,880.47	Professional		$529.02	$758.20	$3,880.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $711.66 / $961.86	Professional		$597.02	$711.66	$961.86
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 $444.64 / $610.90 / $1,140.05	Professional		$444.64	$610.90	$1,140.05