Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $4,592.00 / $6,915.00	Facility		$850.67	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.22 / $850.67 / $1,601.25	Professional		$656.22	$850.67	$1,601.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $2,777.76 / $7,513.42	Facility		$715.00	$2,777.76	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.30 / $1,187.46 / $1,970.47	Professional		$752.30	$1,187.46	$1,970.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.01 / $1,243.01 / $1,243.01	Facility		$1,243.01	$1,243.01	$1,243.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $615.82 / $615.82 / $615.82	Professional		$615.82	$615.82	$615.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $884.00 / $3,685.16	Facility		$512.00	$884.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $1,087.91 / $1,846.10	Professional		$686.02	$1,087.91	$1,846.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $992.82 / $1,598.87	Professional		$761.16	$992.82	$1,598.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,574.20 / $2,248.40	Professional		$5.00	$1,574.20	$2,248.40
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.22 / $1,115.21 / $1,874.04	Professional		$790.22	$1,115.21	$1,874.04