Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.77 / $3,391.00 / $6,915.00	Facility		$672.77	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $486.12 / $885.54	Professional		$410.84	$486.12	$885.54
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 $433.91 / $658.82 / $1,143.59	Professional		$433.91	$658.82	$1,143.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.70 / $653.70 / $653.70	Facility		$653.70	$653.70	$653.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.82 / $398.82 / $398.82	Professional		$398.82	$398.82	$398.82
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 $400.00 / $629.10 / $1,072.48	Professional		$400.00	$629.10	$1,072.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.67 / $576.77 / $966.81	Professional		$443.67	$576.77	$966.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $848.30 / $1,222.09	Professional		$5.00	$848.30	$1,222.09
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 $414.14 / $598.53 / $960.28	Professional		$414.14	$598.53	$960.28