Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.70 / $5,063.00 / $9,488.00	Facility		$1,098.70	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.77 / $809.66 / $1,888.35	Professional		$668.77	$809.66	$1,888.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $3,392.46 / $7,513.42	Facility		$1,012.00	$3,392.46	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $1,090.06 / $1,857.92	Professional		$698.47	$1,090.06	$1,857.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.16 / $1,094.16 / $1,094.16	Facility		$1,094.16	$1,094.16	$1,094.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $640.49 / $640.49 / $640.49	Professional		$640.49	$640.49	$640.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,371.00 / $3,685.16	Facility		$512.00	$1,371.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.37 / $1,069.85 / $1,822.79	Professional		$674.37	$1,069.85	$1,822.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.74 / $903.16 / $2,440.58	Professional		$694.74	$903.16	$2,440.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,348.80 / $1,810.90	Professional		$6.00	$1,348.80	$1,810.90
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 $671.05 / $951.21 / $1,679.67	Professional		$671.05	$951.21	$1,679.67