Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.08 / $4,467.00 / $6,915.00	Facility		$1,189.08	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $815.03 / $1,465.37	Professional		$678.18	$815.03	$1,465.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $3,514.57 / $10,304.31	Facility		$582.00	$3,514.57	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.96 / $1,134.33 / $1,989.32	Professional		$774.96	$1,134.33	$1,989.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.43 / $1,120.43 / $1,120.43	Facility		$1,120.43	$1,120.43	$1,120.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $730.13 / $730.13 / $730.13	Professional		$730.13	$730.13	$730.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $889.21	Facility		$200.00	$617.00	$889.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.78 / $1,156.05 / $1,863.54	Professional		$729.78	$1,156.05	$1,863.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.03 / $1,011.44 / $1,797.12	Professional		$778.03	$1,011.44	$1,797.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,335.00 / $1,750.70	Professional		$7.00	$1,335.00	$1,750.70
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.07 / $1,002.24 / $1,892.46	Professional		$697.07	$1,002.24	$1,892.46