Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.05 / $5,045.00 / $6,915.00	Facility		$563.05	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $618.73 / $1,274.06	Professional		$507.50	$618.73	$1,274.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $861.82 / $1,519.97	Professional		$568.47	$861.82	$1,519.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $824.41 / $824.41 / $824.41	Facility		$824.41	$824.41	$824.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $527.91 / $527.91	Professional		$527.91	$527.91	$527.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $471.00 / $750.00	Facility		$200.00	$471.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.05 / $875.18 / $1,355.01	Professional		$565.05	$875.18	$1,355.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.72 / $735.44 / $1,646.67	Professional		$565.72	$735.44	$1,646.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $960.10 / $1,444.80	Professional		$6.00	$960.10	$1,444.80
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 $527.80 / $743.01 / $1,274.88	Professional		$527.80	$743.01	$1,274.88