Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.61 / $4,829.00 / $6,915.00	Facility		$909.61	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $798.24 / $1,228.28	Professional		$565.32	$798.24	$1,228.28
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 $581.33 / $836.07 / $1,559.00	Professional		$581.33	$836.07	$1,559.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.52 / $1,266.50 / $74,999.25	Facility		$1,076.52	$1,266.50	$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 $591.08 / $898.00 / $1,642.00	Professional		$591.08	$898.00	$1,642.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.35 / $993.97 / $5,001.01	Professional		$683.35	$993.97	$5,001.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $961.80 / $969.12	Professional		$961.80	$961.80	$969.12
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 $573.54 / $789.06 / $1,470.36	Professional		$573.54	$789.06	$1,470.36