Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.04 / $3,460.00 / $6,915.00	Facility		$516.04	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $508.27 / $843.80	Professional		$352.38	$508.27	$843.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.78 / $638.17 / $1,096.68	Professional		$386.78	$638.17	$1,096.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $572.04 / $572.04	Facility		$572.04	$572.04	$572.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.32 / $333.32 / $333.32	Professional		$333.32	$333.32	$333.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.65 / $582.15 / $703.00	Facility		$420.65	$582.15	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $572.33 / $1,020.30	Professional		$353.55	$572.33	$1,020.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $595.32 / $905.92	Professional		$421.02	$595.32	$905.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $817.40 / $1,417.40	Professional		$5.00	$817.40	$1,417.40
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 $423.63 / $616.79 / $1,088.42	Professional		$423.63	$616.79	$1,088.42