Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.89 / $5,045.00 / $6,915.00	Facility		$684.89	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $799.22 / $1,408.78	Professional		$637.44	$799.22	$1,408.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.34 / $1,048.30 / $1,830.88	Professional		$691.34	$1,048.30	$1,830.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,034.67 / $1,034.67 / $1,034.67	Facility		$1,034.67	$1,034.67	$1,034.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.78 / $667.78 / $667.78	Professional		$667.78	$667.78	$667.78
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 $691.06 / $1,061.81 / $1,702.74	Professional		$691.06	$1,061.81	$1,702.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.90 / $924.17 / $1,650.32	Professional		$710.90	$924.17	$1,650.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,216.90 / $1,747.40	Professional		$7.00	$1,216.90	$1,747.40
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 $647.42 / $910.13 / $1,586.85	Professional		$647.42	$910.13	$1,586.85