Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.64 / $5,045.00 / $6,915.00	Facility		$1,194.64	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.16 / $882.16 / $1,606.08	Professional		$705.16	$882.16	$1,606.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.81 / $1,211.22 / $2,036.60	Professional		$801.81	$1,211.22	$2,036.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,409.37 / $1,658.07 / $2,282.06	Facility		$1,409.37	$1,658.07	$2,282.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $747.45 / $747.45 / $747.45	Professional		$747.45	$747.45	$747.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $910.46	Facility		$200.00	$617.00	$910.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,216.80 / $1,907.58	Professional		$739.50	$1,216.80	$1,907.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.42 / $1,035.34 / $1,824.12	Professional		$796.42	$1,035.34	$1,824.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $803.71 / $1,257.03 / $1,622.53	Professional		$803.71	$1,257.03	$1,622.53
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 $728.56 / $1,038.88 / $1,737.35	Professional		$728.56	$1,038.88	$1,737.35