Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.56 / $5,045.00 / $6,915.00	Facility		$838.56	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.52 / $929.20 / $1,703.85	Professional		$766.52	$929.20	$1,703.85
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 $853.58 / $1,288.70 / $2,168.08	Professional		$853.58	$1,288.70	$2,168.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,212.08 / $1,212.08 / $1,212.08	Facility		$1,212.08	$1,212.08	$1,212.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.53 / $797.53 / $797.53	Professional		$797.53	$797.53	$797.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $970.76	Facility		$200.00	$617.00	$970.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.03 / $1,291.18 / $2,030.74	Professional		$807.03	$1,291.18	$2,030.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.83 / $1,102.18 / $1,959.13	Professional		$847.83	$1,102.18	$1,959.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,487.70 / $2,152.50	Professional		$7.00	$1,487.70	$2,152.50
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 $788.39 / $1,092.58 / $1,883.78	Professional		$788.39	$1,092.58	$1,883.78