Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.15 / $4,829.00 / $6,915.00	Facility		$971.15	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.35 / $678.42 / $1,237.44	Professional		$559.35	$678.42	$1,237.44
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 $618.98 / $935.36 / $1,660.52	Professional		$618.98	$935.36	$1,660.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.79 / $1,279.74 / $1,765.20	Facility		$1,087.79	$1,279.74	$1,765.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.90 / $576.90 / $576.90	Professional		$576.90	$576.90	$576.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $2,128.69	Facility		$512.00	$868.00	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.20 / $934.48 / $1,426.29	Professional		$589.20	$934.48	$1,426.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.04 / $800.85 / $1,397.83	Professional		$616.04	$800.85	$1,397.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.84 / $985.01 / $1,568.00	Professional		$646.84	$985.01	$1,568.00
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 $563.16 / $778.14 / $1,371.92	Professional		$563.16	$778.14	$1,371.92