Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.69 / $2,592.00 / $6,915.00	Facility		$221.69	$2,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $225.01 / $413.49	Professional		$128.65	$225.01	$413.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $275.61 / $472.85	Professional		$160.59	$275.61	$472.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.62 / $274.62 / $274.62	Facility		$274.62	$274.62	$274.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $116.82 / $116.82	Professional		$116.82	$116.82	$116.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $338.00 / $546.00	Facility		$184.52	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $250.00 / $494.93	Professional		$144.16	$250.00	$494.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $253.76 / $380.90	Professional		$146.58	$253.76	$380.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $418.80 / $623.00	Professional		$5.00	$418.80	$623.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $281.16 / $477.60	Professional		$199.47	$281.16	$477.60