Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.48 / $4,368.00 / $6,915.00	Facility		$760.48	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $472.27 / $1,100.13	Professional		$404.06	$472.27	$1,100.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,397.73 / $7,513.42	Facility		$450.00	$2,397.73	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $698.72 / $1,169.84	Professional		$414.72	$698.72	$1,169.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.66 / $662.66 / $662.66	Facility		$662.66	$662.66	$662.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $385.85 / $385.85	Professional		$385.85	$385.85	$385.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $3,801.63	Facility		$338.00	$535.00	$3,801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.34 / $693.83 / $1,067.41	Professional		$441.34	$693.83	$1,067.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $531.75 / $1,421.87	Professional		$409.04	$531.75	$1,421.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $394.73 / $662.65 / $1,070.09	Professional		$394.73	$662.65	$1,070.09
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $7,145.00 / $15,026.00	Facility		$886.00	$7,145.00	$15,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.44 / $587.39 / $984.23	Professional		$409.44	$587.39	$984.23