Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.47 / $2,678.00 / $6,915.00	Facility		$341.47	$2,678.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $331.33 / $627.65	Professional		$211.31	$331.33	$627.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.12 / $439.05 / $715.38	Professional		$264.12	$439.05	$715.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.44 / $420.44 / $420.44	Facility		$420.44	$420.44	$420.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $195.64 / $195.64	Professional		$195.64	$195.64	$195.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $1,761.45	Facility		$338.00	$535.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.69 / $401.36 / $722.98	Professional		$239.69	$401.36	$722.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.97 / $372.06 / $673.19	Professional		$245.97	$372.06	$673.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $647.60 / $902.80	Professional		$5.00	$647.60	$902.80
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $417.19 / $719.30	Professional		$298.27	$417.19	$719.30