Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.65 / $2,595.00 / $6,915.00	Facility		$425.65	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $425.65 / $794.16	Professional		$279.04	$425.65	$794.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.83 / $556.59 / $900.12	Professional		$346.83	$556.59	$900.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.71 / $536.71 / $536.71	Facility		$536.71	$536.71	$536.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $260.83 / $260.83	Professional		$260.83	$260.83	$260.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $412.36 / $546.00	Facility		$309.02	$412.36	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.42 / $501.30 / $884.41	Professional		$319.42	$501.30	$884.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $476.16 / $724.59	Professional		$326.32	$476.16	$724.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $764.60 / $1,123.80	Professional		$5.00	$764.60	$1,123.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $523.41 / $896.17	Professional		$373.67	$523.41	$896.17