Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.34 / $3,295.00 / $6,915.00	Facility		$370.34	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $370.34 / $722.53	Professional		$264.64	$370.34	$722.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $493.61 / $807.96	Professional		$305.83	$493.61	$807.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.46 / $490.46 / $490.46	Facility		$490.46	$490.46	$490.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $238.79 / $238.79	Professional		$238.79	$238.79	$238.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,761.45	Facility		$448.00	$715.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $471.09 / $795.19	Professional		$294.41	$471.09	$795.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $405.03 / $682.32	Professional		$299.33	$405.03	$682.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $702.00 / $972.80	Professional		$5.00	$702.00	$972.80
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 $337.80 / $470.04 / $795.52	Professional		$337.80	$470.04	$795.52