Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.64 / $2,595.00 / $6,915.00	Facility		$405.64	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $405.64 / $796.22	Professional		$297.29	$405.64	$796.22
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 $352.91 / $564.60 / $953.04	Professional		$352.91	$564.60	$953.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.75 / $582.75 / $582.75	Facility		$582.75	$582.75	$582.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.54 / $273.54 / $273.54	Professional		$273.54	$273.54	$273.54
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 $330.88 / $529.28 / $899.03	Professional		$330.88	$529.28	$899.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.70 / $451.48 / $745.92	Professional		$341.70	$451.48	$745.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $854.90 / $1,054.90	Professional		$5.00	$854.90	$1,054.90
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 $383.07 / $542.53 / $916.84	Professional		$383.07	$542.53	$916.84