Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,333.00 / $10,285.00	Facility		$1,202.00	$5,333.00	$10,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $740.53 / $1,327.59	Professional		$618.29	$740.53	$1,327.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.04 / $1,104.29 / $1,822.77	Professional		$673.04	$1,104.29	$1,822.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.81 / $1,120.81 / $1,120.81	Facility		$1,120.81	$1,120.81	$1,120.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.24 / $627.24 / $627.24	Professional		$627.24	$627.24	$627.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.00 / $3,237.36 / $9,829.00	Facility		$518.00	$3,237.36	$9,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.66 / $1,035.27 / $1,601.35	Professional		$685.66	$1,035.27	$1,601.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.56 / $869.13 / $4,142.00	Professional		$668.56	$869.13	$4,142.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,701.70	Professional		$7.00	$7.00	$1,701.70
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 $644.85 / $964.63 / $1,548.56	Professional		$644.85	$964.63	$1,548.56