Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.77 / $4,467.00 / $6,915.00	Facility		$761.77	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.61 / $507.78 / $929.11	Professional		$420.61	$507.78	$929.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $723.27 / $1,248.23	Professional		$457.76	$723.27	$1,248.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.87 / $685.87 / $685.87	Facility		$685.87	$685.87	$685.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.74 / $428.74 / $428.74	Professional		$428.74	$428.74	$428.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $700.00 / $2,006.81	Facility		$512.00	$700.00	$2,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.03 / $710.47 / $1,090.83	Professional		$465.03	$710.47	$1,090.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $592.05 / $1,111.69	Professional		$455.43	$592.05	$1,111.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $780.30 / $1,154.59	Professional		$7.00	$780.30	$1,154.59
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 $439.39 / $626.80 / $1,014.24	Professional		$439.39	$626.80	$1,014.24