Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.31 / $5,045.00 / $6,915.00	Facility		$673.31	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $421.48 / $820.95	Professional		$354.10	$421.48	$820.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.04 / $3,878.28 / $9,097.42	Facility		$1,246.04	$3,878.28	$9,097.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.07 / $621.65 / $1,065.46	Professional		$389.07	$621.65	$1,065.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.04 / $686.04 / $686.04	Facility		$686.04	$686.04	$686.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $349.50 / $349.50	Professional		$349.50	$349.50	$349.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,658.10 / $8,291.75	Facility		$506.00	$1,658.10	$8,291.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $627.54 / $973.05	Professional		$402.09	$627.54	$973.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.21 / $472.17 / $850.30	Professional		$363.21	$472.17	$850.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $723.80 / $894.60	Professional		$4.00	$723.80	$894.60
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $573.51 / $984.27	Professional		$370.61	$573.51	$984.27