Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.07 / $5,045.00 / $6,915.00	Facility		$949.07	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.29 / $1,050.47 / $1,916.24	Professional		$873.29	$1,050.47	$1,916.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.89 / $1,441.57 / $2,419.35	Professional		$946.89	$1,441.57	$2,419.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,350.48 / $1,350.48 / $1,350.48	Facility		$1,350.48	$1,350.48	$1,350.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.83 / $889.83 / $889.83	Professional		$889.83	$889.83	$889.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,082.58	Facility		$200.00	$617.00	$1,082.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.30 / $1,459.54 / $2,267.98	Professional		$880.30	$1,459.54	$2,267.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.89 / $1,230.96 / $2,216.77	Professional		$946.89	$1,230.96	$2,216.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,618.50 / $2,404.10	Professional		$7.00	$1,618.50	$2,404.10
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.48 / $1,254.99 / $2,163.78	Professional		$887.48	$1,254.99	$2,163.78