Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.13 / $3,295.00 / $6,915.00	Facility		$447.13	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $436.69 / $850.96	Professional		$283.26	$436.69	$850.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $2,555.00 / $7,513.42	Facility		$580.00	$2,555.00	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.78 / $566.91 / $944.28	Professional		$353.78	$566.91	$944.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.90 / $569.90 / $569.90	Facility		$569.90	$569.90	$569.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.54 / $264.54 / $264.54	Professional		$264.54	$264.54	$264.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $3,685.16	Facility		$453.00	$715.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $531.98 / $947.21	Professional		$321.75	$531.98	$947.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $487.62 / $756.22	Professional		$330.74	$487.62	$756.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $846.10 / $1,162.40	Professional		$5.00	$846.10	$1,162.40
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 $406.05 / $575.91 / $1,009.00	Professional		$406.05	$575.91	$1,009.00