Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.72 / $2,950.00 / $6,915.00	Facility		$577.72	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $622.46 / $1,142.00	Professional		$355.56	$622.46	$1,142.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,986.70 / $6,315.83	Facility		$989.09	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $734.53 / $1,292.03	Professional		$447.45	$734.53	$1,292.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.42 / $490.04 / $1,550.85	Facility		$392.42	$490.04	$1,550.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.50 / $693.98 / $720.63	Professional		$589.50	$693.98	$720.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.28 / $658.50 / $1,237.00	Professional		$379.28	$658.50	$1,237.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.21 / $693.98 / $1,320.81	Professional		$449.21	$693.98	$1,320.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.12 / $755.48 / $1,300.48	Professional		$613.12	$755.48	$1,300.48
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.23 / $933.44 / $1,492.70	Professional		$607.23	$933.44	$1,492.70