Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.41 / $2,987.00 / $6,915.00	Facility		$478.41	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $465.19 / $772.87	Professional		$305.57	$465.19	$772.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $571.41 / $969.08	Professional		$342.49	$571.41	$969.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.36 / $523.36 / $523.36	Facility		$523.36	$523.36	$523.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $282.82 / $282.82	Professional		$282.82	$282.82	$282.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.74 / $518.00 / $703.00	Facility		$365.74	$518.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $514.73 / $919.17	Professional		$314.61	$514.73	$919.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $525.26 / $799.31	Professional		$355.78	$525.26	$799.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $750.00 / $1,258.90	Professional		$5.00	$750.00	$1,258.90
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 $390.89 / $563.63 / $988.59	Professional		$390.89	$563.63	$988.59