Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.35 / $5,045.00 / $6,915.00	Facility		$611.35	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.04 / $674.21 / $1,234.43	Professional		$552.04	$674.21	$1,234.43
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 $614.79 / $955.66 / $1,630.23	Professional		$614.79	$955.66	$1,630.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.08 / $941.08 / $941.08	Facility		$941.08	$941.08	$941.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.62 / $572.62 / $572.62	Professional		$572.62	$572.62	$572.62
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 $611.59 / $932.06 / $1,417.61	Professional		$611.59	$932.06	$1,417.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.48 / $794.92 / $1,592.80	Professional		$611.48	$794.92	$1,592.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $618.08 / $935.07 / $1,179.01	Professional		$618.08	$935.07	$1,179.01
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 $574.37 / $814.76 / $1,370.50	Professional		$574.37	$814.76	$1,370.50