Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $3,867.84 / $9,488.00	Facility		$268.01	$3,867.84	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $295.94 / $608.65	Professional		$191.79	$295.94	$608.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $355.50 / $614.41	Professional		$248.35	$355.50	$614.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.75 / $264.18 / $836.29	Facility		$212.75	$264.18	$836.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.44 / $333.69 / $348.69	Professional		$286.44	$333.69	$348.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $343.46 / $595.83	Professional		$206.42	$343.46	$595.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.17 / $333.69 / $578.70	Professional		$242.17	$333.69	$578.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,150.00 / $2,150.00	Facility		$2,150.00	$2,150.00	$2,150.00
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.67 / $445.73 / $694.76	Professional		$290.67	$445.73	$694.76