Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.85 / $4,592.00 / $6,915.00	Facility		$647.85	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.79 / $642.53 / $1,032.73	Professional		$458.79	$642.53	$1,032.73
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 $445.38 / $601.21 / $1,114.56	Professional		$445.38	$601.21	$1,114.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.03 / $938.18 / $74,999.25	Facility		$770.03	$938.18	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.45 / $732.33 / $1,421.22	Professional		$467.45	$732.33	$1,421.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.19 / $776.04 / $3,575.19	Professional		$512.19	$776.04	$3,575.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.25 / $931.25 / $933.86	Professional		$931.25	$931.25	$933.86
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 $580.82 / $732.34 / $1,329.17	Professional		$580.82	$732.34	$1,329.17