Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.67 / $5,045.00 / $7,391.00	Facility		$741.67	$5,045.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.39 / $614.07 / $1,231.78	Professional		$484.39	$614.07	$1,231.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $3,116.30 / $6,271.28	Facility		$1,132.49	$3,116.30	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.03 / $665.42 / $1,220.24	Professional		$487.03	$665.42	$1,220.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.30 / $1,025.90 / $74,999.25	Facility		$846.30	$1,025.90	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,732.09 / $2,181.15	Facility		$886.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.08 / $719.50 / $1,300.51	Professional		$479.08	$719.50	$1,300.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.73 / $816.00 / $3,925.32	Professional		$535.73	$816.00	$3,925.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $759.76 / $974.06	Professional		$638.00	$759.76	$974.06
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.76 / $633.46 / $1,118.08	Professional		$490.76	$633.46	$1,118.08