Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,726.00 / $14,497.00	Facility		$2,800.00	$6,726.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.44 / $719.06 / $1,309.45	Professional		$604.44	$719.06	$1,309.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,789.00 / $13,137.87	Facility		$1,088.00	$4,789.00	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.66 / $1,087.89 / $1,769.51	Professional		$654.66	$1,087.89	$1,769.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,106.21 / $1,106.21	Facility		$1,106.21	$1,106.21	$1,106.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.65 / $610.65 / $610.65	Professional		$610.65	$610.65	$610.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.00 / $5,008.00 / $10,047.00	Facility		$518.00	$5,008.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.66 / $1,019.89 / $1,559.62	Professional		$676.66	$1,019.89	$1,559.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.14 / $846.48 / $4,095.00	Professional		$651.14	$846.48	$4,095.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,653.60	Professional		$7.00	$7.00	$1,653.60
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.09 / $939.50 / $1,507.37	Professional		$632.09	$939.50	$1,507.37