Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.60 / $5,045.00 / $6,915.00	Facility		$841.60	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.12 / $933.38 / $1,921.21	Professional		$802.12	$933.38	$1,921.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.73 / $1,364.91 / $2,079.73	Professional		$836.73	$1,364.91	$2,079.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,438.88 / $1,438.88 / $1,438.88	Facility		$1,438.88	$1,438.88	$1,438.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.51 / $759.51 / $759.51	Professional		$759.51	$759.51	$759.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $3,685.16	Facility		$512.00	$703.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.93 / $1,293.97 / $2,132.61	Professional		$773.93	$1,293.97	$2,132.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.38 / $1,078.19 / $2,483.07	Professional		$829.38	$1,078.19	$2,483.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,576.90 / $2,209.00	Professional		$6.00	$1,576.90	$2,209.00
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 $789.64 / $1,212.75 / $2,090.94	Professional		$789.64	$1,212.75	$2,090.94