Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.52 / $2,987.00 / $6,915.00	Facility		$266.52	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $265.11 / $540.65	Professional		$145.04	$265.11	$540.65
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 $184.80 / $313.29 / $547.15	Professional		$184.80	$313.29	$547.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.24 / $315.24 / $315.24	Facility		$315.24	$315.24	$315.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $131.94 / $131.94	Professional		$131.94	$131.94	$131.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.95 / $338.00 / $546.00	Facility		$207.95	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $282.60 / $540.59	Professional		$162.19	$282.60	$540.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $287.73 / $429.65	Professional		$165.35	$287.73	$429.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $490.40 / $712.00	Professional		$5.00	$490.40	$712.00
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 $228.65 / $322.93 / $542.71	Professional		$228.65	$322.93	$542.71