Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $4,592.00 / $6,915.00	Facility		$630.51	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.85 / $560.65 / $1,012.41	Professional		$419.85	$560.65	$1,012.41
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 $427.24 / $590.42 / $1,059.57	Professional		$427.24	$590.42	$1,059.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.61 / $892.79 / $74,999.25	Facility		$733.61	$892.79	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.38 / $671.07 / $1,262.26	Professional		$446.38	$671.07	$1,262.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.42 / $738.75 / $3,409.20	Professional		$487.42	$738.75	$3,409.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $786.24 / $1,524.38	Professional		$615.84	$786.24	$1,524.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,200.00 / $6,995.00	Facility		$1,200.00	$4,200.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.30 / $668.23 / $1,258.17	Professional		$512.30	$668.23	$1,258.17