Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.00 / $4,368.00 / $6,915.00	Facility		$1,024.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.07 / $824.12 / $1,493.81	Professional		$703.07	$824.12	$1,493.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.73 / $1,130.16 / $2,026.86	Professional		$746.73	$1,130.16	$2,026.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.73 / $1,102.73 / $1,102.73	Facility		$1,102.73	$1,102.73	$1,102.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $673.67 / $673.67 / $673.67	Professional		$673.67	$673.67	$673.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $720.61 / $873.00	Facility		$453.00	$720.61	$873.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.34 / $1,089.08 / $1,834.29	Professional		$664.34	$1,089.08	$1,834.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.37 / $961.18 / $1,730.93	Professional		$739.37	$961.18	$1,730.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,432.40 / $2,004.80	Professional		$5.00	$1,432.40	$2,004.80
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.83 / $988.52 / $1,673.02	Professional		$704.83	$988.52	$1,673.02