Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.24 / $5,063.00 / $10,897.00	Facility		$705.24	$5,063.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $451.30 / $824.14	Professional		$362.58	$451.30	$824.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $2,619.03 / $6,065.87	Facility		$659.95	$2,619.03	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.59 / $623.57 / $1,097.60	Professional		$411.59	$623.57	$1,097.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.03 / $850.62 / $1,174.16	Facility		$723.03	$850.62	$1,174.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.46 / $383.46 / $383.46	Professional		$383.46	$383.46	$383.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $2,128.69	Facility		$506.00	$868.00	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.35 / $628.62 / $950.98	Professional		$398.35	$628.62	$950.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.77 / $532.70 / $997.41	Professional		$409.77	$532.70	$997.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $430.26 / $654.41 / $1,040.40	Professional		$430.26	$654.41	$1,040.40
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 $385.73 / $535.24 / $985.99	Professional		$385.73	$535.24	$985.99