Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $6,726.00 / $14,497.00	Facility		$833.40	$6,726.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.49 / $654.96 / $836.60	Professional		$519.49	$654.96	$836.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,240.70 / $19,879.08	Facility		$1,400.00	$5,240.70	$19,879.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.12 / $1,004.18 / $1,593.84	Professional		$627.12	$1,004.18	$1,593.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.39 / $675.39 / $675.39	Facility		$675.39	$675.39	$675.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.00 / $1,233.00	Facility		$200.00	$625.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $1,485.50	Professional		$679.39	$679.39	$1,485.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.25 / $750.25 / $3,012.00	Professional		$750.25	$750.25	$3,012.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.30 / $1,359.70 / $1,907.90	Professional		$1,182.30	$1,359.70	$1,907.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.82 / $967.10 / $1,623.84	Professional		$655.82	$967.10	$1,623.84