Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.61 / $4,817.00 / $6,915.00	Facility		$1,372.61	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $898.43 / $1,684.92	Professional		$766.75	$898.43	$1,684.92
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 $813.54 / $1,298.42 / $2,212.38	Professional		$813.54	$1,298.42	$2,212.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,300.73 / $1,300.73 / $1,300.73	Facility		$1,300.73	$1,300.73	$1,300.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $743.97 / $743.97 / $743.97	Professional		$743.97	$743.97	$743.97
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 $756.17 / $1,266.35 / $2,117.21	Professional		$756.17	$1,266.35	$2,117.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.37 / $1,043.08 / $2,166.48	Professional		$802.37	$1,043.08	$2,166.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,484.40 / $2,103.10	Professional		$5.00	$1,484.40	$2,103.10
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 $788.28 / $1,109.72 / $1,875.95	Professional		$788.28	$1,109.72	$1,875.95