Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.76 / $2,987.00 / $6,915.00	Facility		$118.76	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $431.44 / $1,183.36	Professional		$64.73	$431.44	$1,183.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $209.44 / $1,312.52	Professional		$84.96	$209.44	$1,312.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.34 / $652.34 / $652.34	Facility		$652.34	$652.34	$652.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Professional		$60.31	$60.31	$60.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.00 / $633.41 / $2,880.00	Facility		$518.00	$633.41	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $416.46 / $1,331.02	Professional		$79.56	$416.46	$1,331.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $557.61 / $886.91	Professional		$74.31	$557.61	$886.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,268.00 / $1,939.40	Professional		$4.00	$1,268.00	$1,939.40
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $780.97 / $1,429.51	Professional		$546.54	$780.97	$1,429.51