Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.46 / $5,063.00 / $7,391.00	Facility		$1,501.46	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $991.31 / $1,979.54	Professional		$849.44	$991.31	$1,979.54
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 $897.79 / $1,445.45 / $2,231.53	Professional		$897.79	$1,445.45	$2,231.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.21 / $1,454.21 / $1,454.21	Facility		$1,454.21	$1,454.21	$1,454.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.20 / $814.20 / $814.20	Professional		$814.20	$814.20	$814.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,005.00 / $3,685.16	Facility		$512.00	$1,005.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.36 / $1,372.93 / $2,278.81	Professional		$831.36	$1,372.93	$2,278.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.35 / $1,157.46 / $2,558.44	Professional		$890.35	$1,157.46	$2,558.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,684.20 / $2,374.19	Professional		$6.00	$1,684.20	$2,374.19
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 $839.69 / $1,219.89 / $1,960.31	Professional		$839.69	$1,219.89	$1,960.31