Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.90 / $5,045.00 / $6,915.00	Facility		$430.90	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $476.84 / $959.95	Professional		$395.02	$476.84	$959.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $659.55 / $1,175.34	Professional		$427.78	$659.55	$1,175.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $659.17 / $659.17 / $659.17	Facility		$659.17	$659.17	$659.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.15 / $403.15 / $403.15	Professional		$403.15	$403.15	$403.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.72 / $673.08 / $1,027.39	Professional		$415.72	$673.08	$1,027.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.94 / $557.62 / $1,004.20	Professional		$428.94	$557.62	$1,004.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $766.80 / $1,089.20	Professional		$7.00	$766.80	$1,089.20
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 $408.12 / $592.27 / $1,020.71	Professional		$408.12	$592.27	$1,020.71