Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.62 / $5,045.00 / $7,421.00	Facility		$1,017.62	$5,045.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,109.45 / $2,000.43	Professional		$923.82	$1,109.45	$2,000.43
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 $992.26 / $1,507.65 / $2,546.56	Professional		$992.26	$1,507.65	$2,546.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.69 / $1,366.69 / $1,366.69	Facility		$1,366.69	$1,366.69	$1,366.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $920.77 / $920.77	Professional		$920.77	$920.77	$920.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,129.03	Facility		$200.00	$617.00	$1,129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.37 / $1,527.94 / $2,376.65	Professional		$926.37	$1,527.94	$2,376.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.26 / $1,289.94 / $2,223.57	Professional		$992.26	$1,289.94	$2,223.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,770.83 / $2,603.50	Professional		$7.00	$1,770.83	$2,603.50
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 $944.28 / $1,301.52 / $2,272.84	Professional		$944.28	$1,301.52	$2,272.84