Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.22 / $3,295.00 / $6,915.00	Facility		$369.22	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $369.22 / $698.73	Professional		$248.00	$369.22	$698.73
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 $297.20 / $482.86 / $778.21	Professional		$297.20	$482.86	$778.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.19 / $458.19 / $458.19	Facility		$458.19	$458.19	$458.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.99 / $226.99 / $226.99	Professional		$226.99	$226.99	$226.99
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 $269.95 / $426.03 / $770.53	Professional		$269.95	$426.03	$770.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $407.72 / $620.45	Professional		$285.70	$407.72	$620.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $677.60 / $984.60	Professional		$5.00	$677.60	$984.60
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $446.06 / $768.83	Professional		$322.91	$446.06	$768.83