Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.17 / $6,915.00 / $14,497.00	Facility		$1,373.17	$6,915.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.25 / $859.81 / $1,600.12	Professional		$710.25	$859.81	$1,600.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,045.77 / $17,035.45	Facility		$875.00	$6,045.77	$17,035.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.03 / $1,249.83 / $2,158.54	Professional		$778.03	$1,249.83	$2,158.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.55 / $1,139.55 / $1,139.55	Facility		$1,139.55	$1,139.55	$1,139.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.33 / $727.33 / $727.33	Professional		$727.33	$727.33	$727.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $9,375.00	Facility		$400.00	$750.00	$9,375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.11 / $1,207.84 / $1,957.63	Professional		$769.11	$1,207.84	$1,957.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.96 / $1,004.85 / $2,490.85	Professional		$772.96	$1,004.85	$2,490.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $1,210.46 / $1,536.20	Professional		$778.70	$1,210.46	$1,536.20
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 $734.72 / $1,061.26 / $1,779.85	Professional		$734.72	$1,061.26	$1,779.85