Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $5,045.00 / $6,915.00	Facility		$450.36	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $510.59 / $909.92	Professional		$431.46	$510.59	$909.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $9,469.26	Facility		$659.95	$3,801.18	$9,469.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.04 / $689.32 / $1,205.08	Professional		$453.04	$689.32	$1,205.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.88 / $692.88 / $692.88	Facility		$692.88	$692.88	$692.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $415.30 / $415.30 / $415.30	Professional		$415.30	$415.30	$415.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.68 / $668.03 / $1,136.52	Professional		$447.68	$668.03	$1,136.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.77 / $582.10 / $1,048.29	Professional		$447.77	$582.10	$1,048.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $842.60 / $1,160.80	Professional		$5.00	$842.60	$1,160.80
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.01 / $618.22 / $999.94	Professional		$436.01	$618.22	$999.94