Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.14 / $4,467.00 / $6,915.00	Facility		$1,292.14	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.21 / $1,105.72 / $2,033.22	Professional		$944.21	$1,105.72	$2,033.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.73 / $1,519.37 / $2,600.14	Professional		$1,011.73	$1,519.37	$2,600.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,480.32 / $1,480.32 / $1,480.32	Facility		$1,480.32	$1,480.32	$1,480.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $938.00 / $938.00 / $938.00	Professional		$938.00	$938.00	$938.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,158.61	Facility		$200.00	$617.00	$1,158.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.52 / $1,556.34 / $2,400.63	Professional		$931.52	$1,556.34	$2,400.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.26 / $1,302.94 / $2,346.41	Professional		$1,002.26	$1,302.94	$2,346.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,833.00 / $2,566.80	Professional		$6.00	$1,833.00	$2,566.80
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,953.00	Facility		$576.00	$3,895.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.66 / $1,392.85 / $2,384.98	Professional		$958.66	$1,392.85	$2,384.98