Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.63 / $2,987.00 / $6,915.00	Facility		$389.63	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $404.55 / $684.13	Professional		$273.20	$404.55	$684.13
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 $299.36 / $516.01 / $857.81	Professional		$299.36	$516.01	$857.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.26 / $420.26 / $420.26	Facility		$420.26	$420.26	$420.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $242.80 / $242.80	Professional		$242.80	$242.80	$242.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.23 / $412.36 / $546.00	Facility		$330.23	$412.36	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $456.50 / $809.04	Professional		$276.00	$456.50	$809.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $401.28 / $684.86	Professional		$307.64	$401.28	$684.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $692.00 / $1,121.30	Professional		$5.00	$692.00	$1,121.30
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 $332.82 / $474.39 / $857.11	Professional		$332.82	$474.39	$857.11