Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.53 / $5,045.00 / $6,915.00	Facility		$614.53	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $673.15 / $1,735.79	Professional		$583.03	$673.15	$1,735.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.39 / $988.12 / $1,652.84	Professional		$625.39	$988.12	$1,652.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.46 / $955.46 / $955.46	Facility		$955.46	$955.46	$955.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.94 / $575.94 / $575.94	Professional		$575.94	$575.94	$575.94
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 $633.01 / $970.77 / $1,710.22	Professional		$633.01	$970.77	$1,710.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.04 / $806.07 / $2,414.88	Professional		$620.04	$806.07	$2,414.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,123.90 / $1,595.20	Professional		$6.00	$1,123.90	$1,595.20
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 $592.12 / $829.96 / $1,453.53	Professional		$592.12	$829.96	$1,453.53