Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $6,439.00 / $11,103.00	Facility		$1,374.00	$6,439.00	$11,103.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.89 / $846.55 / $2,031.95	Professional		$691.89	$846.55	$2,031.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,733.69 / $9,156.52	Facility		$814.00	$3,733.69	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.07 / $1,202.73 / $2,082.55	Professional		$769.07	$1,202.73	$2,082.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.74 / $1,126.74 / $1,126.74	Facility		$1,126.74	$1,126.74	$1,126.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.64 / $717.64 / $717.64	Professional		$717.64	$717.64	$717.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $948.00 / $9,852.00	Facility		$400.00	$948.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $1,189.65 / $1,933.95	Professional		$753.00	$1,189.65	$1,933.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.07 / $993.29 / $2,626.20	Professional		$764.07	$993.29	$2,626.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,357.80 / $1,939.30	Professional		$7.00	$1,357.80	$1,939.30
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $1,006.69 / $1,711.38	Professional		$724.00	$1,006.69	$1,711.38