Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.44 / $5,045.00 / $6,915.00	Facility		$671.44	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.94 / $734.94 / $1,314.58	Professional		$596.94	$734.94	$1,314.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.94 / $976.09 / $1,743.06	Professional		$665.94	$976.09	$1,743.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $622.37 / $622.37 / $622.37	Professional		$622.37	$622.37	$622.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.49 / $963.64 / $1,541.94	Professional		$608.49	$963.64	$1,541.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $869.91 / $1,515.13	Professional		$669.16	$869.91	$1,515.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,080.40 / $1,727.10	Professional		$5.00	$1,080.40	$1,727.10
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 $595.19 / $831.33 / $1,448.33	Professional		$595.19	$831.33	$1,448.33