Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,370.32 / $9,549.93	Facility		$1,000.00	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,479.11	Professional		$707.95	$870.96	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,570.40 / $5,248.07	Facility		$741.31	$2,570.40	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,862.09	Professional		$741.31	$1,230.27	$1,862.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,778.28	Professional		$660.69	$1,000.00	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,819.70	Professional		$776.25	$1,000.00	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $1,995.26	Professional		$6.03	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $7,079.46	Facility		$398.11	$2,511.89	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,698.24	Professional		$691.83	$912.01	$1,698.24