Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.37 / $4,368.00 / $6,915.00	Facility		$1,012.37	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.44 / $739.52 / $1,522.59	Professional		$596.44	$739.52	$1,522.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,098.00 / $6,065.87	Facility		$572.89	$2,098.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.95 / $1,024.93 / $1,769.97	Professional		$672.95	$1,024.93	$1,769.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $952.59 / $952.59 / $952.59	Facility		$952.59	$952.59	$952.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $626.95 / $626.95	Professional		$626.95	$626.95	$626.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $731.00 / $2,128.69	Facility		$453.00	$731.00	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.46 / $975.20 / $1,554.18	Professional		$647.46	$975.20	$1,554.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.52 / $869.08 / $1,967.88	Professional		$668.52	$869.08	$1,967.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,109.50 / $1,703.90	Professional		$7.00	$1,109.50	$1,703.90
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.78 / $881.97 / $1,488.79	Professional		$626.78	$881.97	$1,488.79