Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.41 / $5,045.00 / $6,915.00	Facility		$784.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.91 / $868.51 / $1,564.34	Professional		$698.91	$868.51	$1,564.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $2,580.19 / $6,160.12	Facility		$635.00	$2,580.19	$6,160.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.38 / $1,180.89 / $1,996.09	Professional		$780.38	$1,180.89	$1,996.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,084.08 / $1,084.08 / $1,084.08	Facility		$1,084.08	$1,084.08	$1,084.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.79 / $733.79 / $733.79	Professional		$733.79	$733.79	$733.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $893.51	Facility		$200.00	$617.00	$893.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $1,185.09 / $1,869.17	Professional		$698.07	$1,185.09	$1,869.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.38 / $1,014.49 / $1,769.09	Professional		$780.38	$1,014.49	$1,769.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,373.40 / $1,986.80	Professional		$6.00	$1,373.40	$1,986.80
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 $714.51 / $987.55 / $1,709.66	Professional		$714.51	$987.55	$1,709.66