Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.14 / $4,829.00 / $6,915.00	Facility		$800.14	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.48 / $761.19 / $1,103.72	Professional		$600.48	$761.19	$1,103.72
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 $533.60 / $816.18 / $1,515.53	Professional		$533.60	$816.18	$1,515.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,048.33 / $1,273.65 / $74,999.25	Facility		$1,048.33	$1,273.65	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.63 / $821.52 / $1,600.56	Professional		$518.63	$821.52	$1,600.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.12 / $846.51 / $4,876.93	Professional		$665.12	$846.51	$4,876.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $792.09 / $995.37 / $2,178.42	Professional		$792.09	$995.37	$2,178.42
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.63 / $756.56 / $1,382.88	Professional		$557.63	$756.56	$1,382.88