Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.03 / $4,467.00 / $6,915.00	Facility		$712.03	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $511.03 / $924.11	Professional		$427.90	$511.03	$924.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.02 / $714.80 / $1,221.15	Professional		$468.02	$714.80	$1,221.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $630.80 / $630.80	Facility		$630.80	$630.80	$630.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.83 / $432.83 / $432.83	Professional		$432.83	$432.83	$432.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $715.00 / $2,472.46	Facility		$506.00	$715.00	$2,472.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.11 / $715.98 / $1,115.01	Professional		$426.11	$715.98	$1,115.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.52 / $605.17 / $1,102.78	Professional		$465.52	$605.17	$1,102.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $832.00 / $1,198.59	Professional		$3.00	$832.00	$1,198.59
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.64 / $624.99 / $1,058.57	Professional		$436.64	$624.99	$1,058.57