Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.11 / $5,063.00 / $7,391.00	Facility		$719.11	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.56 / $467.03 / $1,066.72	Professional		$389.56	$467.03	$1,066.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,392.46 / $7,513.42	Facility		$1,207.00	$3,392.46	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.21 / $632.97 / $1,102.77	Professional		$398.21	$632.97	$1,102.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.82 / $647.82 / $647.82	Facility		$647.82	$647.82	$647.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $370.51 / $370.51	Professional		$370.51	$370.51	$370.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,658.10 / $3,415.99	Facility		$506.00	$1,658.10	$3,415.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.72 / $652.88 / $1,032.75	Professional		$436.72	$652.88	$1,032.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.29 / $511.28 / $1,378.67	Professional		$393.29	$511.28	$1,378.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $701.88 / $1,016.00	Professional		$5.00	$701.88	$1,016.00
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 $391.79 / $561.51 / $943.67	Professional		$391.79	$561.51	$943.67