Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.65 / $3,391.00 / $6,915.00	Facility		$544.65	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $391.43 / $724.68	Professional		$338.00	$391.43	$724.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,099.35 / $4,143.39	Facility		$759.49	$2,099.35	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.79 / $529.40 / $1,035.68	Professional		$339.79	$529.40	$1,035.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.42 / $496.42 / $496.42	Facility		$496.42	$496.42	$496.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $318.45 / $318.45	Professional		$318.45	$318.45	$318.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $392.68 / $392.68	Facility		$392.68	$392.68	$392.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.56 / $538.66 / $888.90	Professional		$366.56	$538.66	$888.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.25 / $435.83 / $1,221.10	Professional		$335.25	$435.83	$1,221.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $618.20 / $769.90	Professional		$270.98	$618.20	$769.90
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $466.89 / $759.75	Professional		$329.55	$466.89	$759.75