Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.01 / $4,353.00 / $6,915.00	Facility		$1,010.01	$4,353.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.76 / $699.86 / $1,293.52	Professional		$595.76	$699.86	$1,293.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.82 / $1,019.29 / $1,704.82	Professional		$617.82	$1,019.29	$1,704.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.88 / $954.88 / $954.88	Facility		$954.88	$954.88	$954.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.91 / $565.91 / $565.91	Professional		$565.91	$565.91	$565.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,761.45	Facility		$453.00	$715.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.16 / $942.10 / $1,564.05	Professional		$574.16	$942.10	$1,564.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.96 / $794.25 / $1,430.33	Professional		$610.96	$794.25	$1,430.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,166.40 / $1,567.70	Professional		$5.00	$1,166.40	$1,567.70
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.25 / $844.84 / $1,433.68	Professional		$590.25	$844.84	$1,433.68