Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.82 / $5,045.00 / $6,915.00	Facility		$692.82	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.57 / $765.93 / $1,394.02	Professional		$627.57	$765.93	$1,394.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.30 / $1,056.76 / $1,873.25	Professional		$697.30	$1,056.76	$1,873.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $990.00 / $990.00	Facility		$990.00	$990.00	$990.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Professional		$651.29	$651.29	$651.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.11 / $1,065.01 / $1,638.47	Professional		$694.11	$1,065.01	$1,638.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.95 / $902.14 / $1,580.20	Professional		$693.95	$902.14	$1,580.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.59 / $1,048.54 / $1,333.68	Professional		$699.59	$1,048.54	$1,333.68
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.01 / $911.06 / $1,597.33	Professional		$652.01	$911.06	$1,597.33