Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.50 / $4,817.00 / $6,915.00	Facility		$1,130.50	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.52 / $820.36 / $1,487.06	Professional		$665.52	$820.36	$1,487.06
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 $737.92 / $1,124.33 / $1,984.34	Professional		$737.92	$1,124.33	$1,984.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,055.80 / $1,055.80 / $1,055.80	Facility		$1,055.80	$1,055.80	$1,055.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.66 / $688.66 / $688.66	Professional		$688.66	$688.66	$688.66
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 $720.33 / $1,093.97 / $1,705.59	Professional		$720.33	$1,093.97	$1,705.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.71 / $953.82 / $1,702.19	Professional		$733.71	$953.82	$1,702.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $765.17 / $1,173.29 / $1,868.20	Professional		$765.17	$1,173.29	$1,868.20
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 $683.53 / $956.94 / $1,653.15	Professional		$683.53	$956.94	$1,653.15