Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.53 / $5,045.00 / $6,915.00	Facility		$610.53	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.64 / $668.55 / $1,199.90	Professional		$542.64	$668.55	$1,199.90
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 $607.84 / $919.25 / $1,579.77	Professional		$607.84	$919.25	$1,579.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.32 / $821.32 / $821.32	Facility		$821.32	$821.32	$821.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.48 / $565.48 / $565.48	Professional		$565.48	$565.48	$565.48
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 $574.14 / $909.01 / $1,416.23	Professional		$574.14	$909.01	$1,416.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.84 / $790.19 / $1,400.00	Professional		$607.84	$790.19	$1,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,075.70 / $1,572.50	Professional		$7.00	$1,075.70	$1,572.50
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 $568.34 / $761.33 / $1,316.81	Professional		$568.34	$761.33	$1,316.81