Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $2,999.78 / $11,649.62	Facility		$958.65	$2,999.78	$11,649.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $958.65 / $1,325.36	Professional		$924.00	$958.65	$1,325.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.10 / $1,044.31 / $2,184.02	Facility		$595.10	$1,044.31	$2,184.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $1,039.50 / $1,097.25	Professional		$962.50	$1,039.50	$1,097.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $1,010.63 / $1,970.78	Facility		$981.75	$1,010.63	$1,970.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $2,446.00 / $3,789.00	Professional		$981.75	$2,446.00	$3,789.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.37 / $2,297.92 / $2,507.89	Professional		$1,641.37	$2,297.92	$2,507.89
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,155.00	Professional		$962.50	$962.50	$1,155.00