Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.23 / $5,045.00 / $6,915.00	Facility		$1,013.23	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.81 / $1,152.68 / $2,112.66	Professional		$957.81	$1,152.68	$2,112.66
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 $1,028.79 / $1,550.85 / $2,630.93	Professional		$1,028.79	$1,550.85	$2,630.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.35 / $1,494.35 / $1,494.35	Facility		$1,494.35	$1,494.35	$1,494.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $952.72 / $952.72 / $952.72	Professional		$952.72	$952.72	$952.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,175.30	Facility		$200.00	$617.00	$1,175.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.07 / $1,593.57 / $2,445.61	Professional		$954.07	$1,593.57	$2,445.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.04 / $1,327.35 / $2,390.37	Professional		$1,021.04	$1,327.35	$2,390.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,964.50 / $2,607.60	Professional		$6.00	$1,964.50	$2,607.60
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 $956.36 / $1,359.53 / $2,273.86	Professional		$956.36	$1,359.53	$2,273.86