Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.88 / $3,295.00 / $6,915.00	Facility		$269.88	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $292.41 / $532.11	Professional		$177.86	$292.41	$532.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,729.39 / $3,784.98	Facility		$534.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $378.36 / $648.28	Professional		$211.21	$378.36	$648.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.49 / $332.49 / $332.49	Facility		$332.49	$332.49	$332.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $167.91 / $167.91	Professional		$167.91	$167.91	$167.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.49 / $453.00 / $731.00	Facility		$140.49	$453.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $331.93 / $627.50	Professional		$201.16	$331.93	$627.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $325.74 / $528.96	Professional		$209.27	$325.74	$528.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $575.40 / $840.20	Professional		$5.00	$575.40	$840.20
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 $240.65 / $360.99 / $660.98	Professional		$240.65	$360.99	$660.98