Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.53 / $4,829.00 / $6,915.00	Facility		$935.53	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $794.69 / $1,282.48	Professional		$627.26	$794.69	$1,282.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,986.70 / $6,271.28	Facility		$1,039.14	$2,986.70	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.64 / $850.81 / $1,586.48	Professional		$594.64	$850.81	$1,586.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,095.74 / $1,331.66 / $74,999.25	Facility		$1,095.74	$1,331.66	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,732.09 / $2,181.15	Facility		$778.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.19 / $921.30 / $1,672.65	Professional		$607.19	$921.30	$1,672.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.40 / $1,011.49 / $5,093.04	Professional		$695.40	$1,011.49	$5,093.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.75 / $978.75 / $986.19	Professional		$978.75	$978.75	$986.19
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 $601.72 / $805.34 / $1,444.72	Professional		$601.72	$805.34	$1,444.72