Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.44 / $5,063.00 / $7,391.00	Facility		$1,480.44	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.41 / $1,061.40 / $1,952.97	Professional		$891.41	$1,061.40	$1,952.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $2,322.50 / $4,819.75	Facility		$717.00	$2,322.50	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.30 / $1,488.15 / $2,546.40	Professional		$957.30	$1,488.15	$2,546.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.45 / $1,431.45 / $1,431.45	Facility		$1,431.45	$1,431.45	$1,431.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.08 / $883.08 / $883.08	Professional		$883.08	$883.08	$883.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,005.00 / $1,761.45	Facility		$512.00	$1,005.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.61 / $1,402.78 / $2,317.78	Professional		$866.61	$1,402.78	$2,317.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.58 / $1,237.05 / $2,386.48	Professional		$951.58	$1,237.05	$2,386.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,619.20 / $2,465.69	Professional		$6.00	$1,619.20	$2,465.69
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.99 / $1,316.52 / $2,485.06	Professional		$921.99	$1,316.52	$2,485.06