Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $4,733.00 / $6,915.00	Facility		$803.63	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.07 / $683.36 / $1,230.19	Professional		$554.07	$683.36	$1,230.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.03 / $924.93 / $1,613.43	Professional		$608.03	$924.93	$1,613.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.63 / $804.63 / $804.63	Facility		$804.63	$804.63	$804.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $577.22 / $577.22 / $577.22	Professional		$577.22	$577.22	$577.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,765.90	Facility		$512.00	$703.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.16 / $908.01 / $1,451.31	Professional		$564.16	$908.01	$1,451.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.27 / $805.05 / $1,339.91	Professional		$619.27	$805.05	$1,339.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,061.30 / $1,594.70	Professional		$5.00	$1,061.30	$1,594.70
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 $557.54 / $777.30 / $1,348.25	Professional		$557.54	$777.30	$1,348.25