Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.90 / $5,063.00 / $6,915.00	Facility		$816.90	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $905.60 / $1,653.47	Professional		$754.67	$905.60	$1,653.47
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 $842.98 / $1,373.04 / $2,221.77	Professional		$842.98	$1,373.04	$2,221.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.27 / $1,008.27 / $1,008.27	Facility		$1,008.27	$1,008.27	$1,008.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $779.61 / $779.61 / $779.61	Professional		$779.61	$779.61	$779.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $938.15	Facility		$200.00	$617.00	$938.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,299.04 / $2,153.88	Professional		$826.00	$1,299.04	$2,153.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.08 / $1,077.80 / $5,089.00	Professional		$829.08	$1,077.80	$5,089.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,577.60 / $2,063.90	Professional		$7.00	$1,577.60	$2,063.90
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,923.00 / $8,133.00	Facility		$450.00	$2,923.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.81 / $1,181.68 / $2,004.47	Professional		$806.81	$1,181.68	$2,004.47