Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.52 / $4,829.00 / $6,915.00	Facility		$907.52	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.78 / $669.82 / $1,223.07	Professional		$551.78	$669.82	$1,223.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $3,081.88 / $6,065.87	Facility		$1,146.00	$3,081.88	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.27 / $942.80 / $1,647.11	Professional		$610.27	$942.80	$1,647.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.16 / $1,262.54 / $1,740.23	Facility		$1,073.16	$1,262.54	$1,740.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.14 / $569.14 / $569.14	Professional		$569.14	$569.14	$569.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,658.10 / $2,580.60	Facility		$512.00	$1,658.10	$2,580.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.36 / $930.59 / $1,454.67	Professional		$562.36	$930.59	$1,454.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.33 / $789.53 / $1,383.28	Professional		$607.33	$789.53	$1,383.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $970.33 / $1,543.80	Professional		$615.00	$970.33	$1,543.80
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 $558.63 / $776.43 / $1,396.84	Professional		$558.63	$776.43	$1,396.84