Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,391.00 / $6,915.00	Facility		$1,202.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.09 / $704.89 / $3,736.45	Professional		$236.09	$704.89	$3,736.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $731.28 / $6,047.61	Professional		$313.49	$731.28	$6,047.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,782.43 / $4,782.43 / $4,782.43	Facility		$4,782.43	$4,782.43	$4,782.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $219.59 / $219.59	Professional		$219.59	$219.59	$219.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $622.08 / $5,178.60	Professional		$304.41	$622.08	$5,178.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $2,152.98 / $5,425.51	Professional		$268.14	$2,152.98	$5,425.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.72 / $1,322.20 / $3,983.01	Professional		$293.72	$1,322.20	$3,983.01
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 $565.23 / $2,889.96 / $5,938.35	Professional		$565.23	$2,889.96	$5,938.35