Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,045.00 / $6,915.00	Facility		$984.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.07 / $764.40 / $1,267.98	Professional		$603.07	$764.40	$1,267.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.53 / $896.75 / $1,645.20	Professional		$600.53	$896.75	$1,645.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.13 / $1,383.90 / $74,999.25	Facility		$1,142.13	$1,383.90	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.21 / $913.02 / $1,746.59	Professional		$645.21	$913.02	$1,746.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.68 / $962.98 / $5,296.20	Professional		$722.68	$962.98	$5,296.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $860.65 / $1,024.89 / $1,313.96	Professional		$860.65	$1,024.89	$1,313.96
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 $643.47 / $848.82 / $1,462.83	Professional		$643.47	$848.82	$1,462.83