Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.52 / $4,368.00 / $6,915.00	Facility		$824.52	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $624.53 / $1,115.58	Professional		$507.91	$624.53	$1,115.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.17 / $837.60 / $1,451.61	Professional		$562.17	$837.60	$1,451.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.90 / $707.90 / $707.90	Facility		$707.90	$707.90	$707.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $528.91 / $528.91	Professional		$528.91	$528.91	$528.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,765.90	Facility		$453.00	$715.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.45 / $845.15 / $1,312.05	Professional		$502.45	$845.15	$1,312.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.59 / $740.47 / $1,357.93	Professional		$569.59	$740.47	$1,357.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $959.60 / $1,472.50	Professional		$5.00	$959.60	$1,472.50
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.53 / $700.93 / $1,232.82	Professional		$501.53	$700.93	$1,232.82