Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.34 / $5,063.00 / $8,155.00	Facility		$968.34	$5,063.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.44 / $632.91 / $1,397.29	Professional		$524.44	$632.91	$1,397.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $2,889.99 / $7,513.42	Facility		$758.00	$2,889.99	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.71 / $891.78 / $1,427.76	Professional		$575.71	$891.78	$1,427.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.60 / $846.60 / $846.60	Facility		$846.60	$846.60	$846.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $526.41 / $526.41	Professional		$526.41	$526.41	$526.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $988.00 / $3,685.16	Facility		$512.00	$988.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.64 / $846.03 / $1,375.75	Professional		$547.64	$846.03	$1,375.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.17 / $743.83 / $1,805.93	Professional		$572.17	$743.83	$1,805.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $964.30 / $1,495.10	Professional		$6.00	$964.30	$1,495.10
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 $549.21 / $751.79 / $1,321.30	Professional		$549.21	$751.79	$1,321.30