Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.40 / $3,010.00 / $3,677.20	Facility		$771.40	$3,010.00	$3,677.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $812.00 / $1,740.00	Professional		$337.62	$812.00	$1,740.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.43 / $1,368.80 / $4,013.60	Facility		$755.43	$1,368.80	$4,013.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.20 / $540.00 / $2,275.92	Professional		$340.20	$540.00	$2,275.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,682.00 / $2,493.17	Facility		$1,160.00	$1,682.00	$2,493.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.86 / $1,824.68 / $3,219.05	Facility		$484.86	$1,824.68	$3,219.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.36 / $1,771.13 / $6,529.32	Professional		$528.36	$1,771.13	$6,529.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,508.00 / $9,040.31	Professional		$1,044.00	$1,508.00	$9,040.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.60 / $1,624.00 / $2,146.00	Professional		$1,403.60	$1,624.00	$2,146.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $2,388.90	Professional		$487.20	$696.00	$2,388.90