Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.30 / $5,045.00 / $6,915.00	Facility		$625.30	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.54 / $685.87 / $1,474.93	Professional		$590.54	$685.87	$1,474.93
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 $635.47 / $971.61 / $1,682.78	Professional		$635.47	$971.61	$1,682.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.92 / $955.92 / $955.92	Facility		$955.92	$955.92	$955.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $584.65 / $584.65 / $584.65	Professional		$584.65	$584.65	$584.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.44 / $979.82 / $1,530.00	Professional		$642.44	$979.82	$1,530.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.60 / $817.18 / $1,906.28	Professional		$628.60	$817.18	$1,906.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,142.50 / $1,618.40	Professional		$6.00	$1,142.50	$1,618.40
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 $597.97 / $846.84 / $1,441.39	Professional		$597.97	$846.84	$1,441.39