Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.45 / $5,045.00 / $6,915.00	Facility		$972.45	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.74 / $1,078.80 / $2,071.31	Professional		$901.74	$1,078.80	$2,071.31
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 $973.92 / $1,488.43 / $2,502.96	Professional		$973.92	$1,488.43	$2,502.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,428.53 / $1,428.53 / $1,428.53	Facility		$1,428.53	$1,428.53	$1,428.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $910.49 / $910.49 / $910.49	Professional		$910.49	$910.49	$910.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,113.11	Facility		$200.00	$617.00	$1,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.39 / $1,525.00 / $2,315.91	Professional		$927.39	$1,525.00	$2,315.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $966.89 / $1,256.96 / $2,459.25	Professional		$966.89	$1,256.96	$2,459.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,740.60 / $2,458.80	Professional		$7.00	$1,740.60	$2,458.80
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 $926.21 / $1,288.08 / $2,208.08	Professional		$926.21	$1,288.08	$2,208.08