Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.21 / $5,063.00 / $7,391.00	Facility		$1,200.21	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.36 / $814.95 / $1,461.65	Professional		$688.36	$814.95	$1,461.65
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 $736.14 / $1,133.09 / $1,825.62	Professional		$736.14	$1,133.09	$1,825.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.72 / $1,162.72 / $1,162.72	Facility		$1,162.72	$1,162.72	$1,162.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.01 / $665.01 / $665.01	Professional		$665.01	$665.01	$665.01
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 $661.74 / $1,105.46 / $1,833.82	Professional		$661.74	$1,105.46	$1,833.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.37 / $948.18 / $1,786.44	Professional		$729.37	$948.18	$1,786.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,394.10 / $1,953.40	Professional		$6.00	$1,394.10	$1,953.40
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 $687.29 / $980.20 / $1,610.53	Professional		$687.29	$980.20	$1,610.53