Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.61 / $5,063.00 / $7,391.00	Facility		$1,445.61	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.39 / $1,061.96 / $1,940.64	Professional		$875.39	$1,061.96	$1,940.64
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 $962.99 / $1,463.24 / $2,452.32	Professional		$962.99	$1,463.24	$2,452.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,695.59 / $1,994.81 / $2,740.01	Facility		$1,695.59	$1,994.81	$2,740.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.25 / $899.25 / $899.25	Professional		$899.25	$899.25	$899.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,094.99	Facility		$200.00	$617.00	$1,094.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.02 / $1,475.99 / $2,290.40	Professional		$891.02	$1,475.99	$2,290.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.24 / $1,243.10 / $2,276.28	Professional		$956.24	$1,243.10	$2,276.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $962.89 / $1,507.79 / $1,945.56	Professional		$962.89	$1,507.79	$1,945.56
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 $895.06 / $1,248.14 / $2,311.90	Professional		$895.06	$1,248.14	$2,311.90