Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.98 / $4,733.00 / $6,915.00	Facility		$923.98	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $625.80 / $1,188.52	Professional		$494.39	$625.80	$1,188.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.24 / $868.71 / $1,502.05	Professional		$587.24	$868.71	$1,502.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.16 / $735.16 / $735.16	Facility		$735.16	$735.16	$735.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $545.03 / $545.03 / $545.03	Professional		$545.03	$545.03	$545.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $1,765.90	Facility		$512.00	$868.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.12 / $862.14 / $1,348.97	Professional		$519.12	$862.14	$1,348.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.24 / $763.41 / $1,426.92	Professional		$587.24	$763.41	$1,426.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $688.70 / $920.01 / $1,102.30	Professional		$688.70	$920.01	$1,102.30
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 $511.71 / $720.31 / $1,261.69	Professional		$511.71	$720.31	$1,261.69