Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.74 / $4,829.00 / $6,915.00	Facility		$912.74	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.55 / $783.08 / $1,140.58	Professional		$617.55	$783.08	$1,140.58
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 $582.65 / $838.19 / $1,562.96	Professional		$582.65	$838.19	$1,562.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.82 / $1,312.58 / $74,999.25	Facility		$1,079.82	$1,312.58	$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 $591.82 / $898.00 / $1,647.41	Professional		$591.82	$898.00	$1,647.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.44 / $997.01 / $5,019.93	Professional		$685.44	$997.01	$5,019.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $964.24 / $964.24 / $972.08	Professional		$964.24	$964.24	$972.08
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 $593.05 / $781.97 / $1,474.08	Professional		$593.05	$781.97	$1,474.08