Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.50 / $4,338.00 / $6,915.00	Facility		$352.50	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.85 / $450.91 / $698.78	Professional		$291.85	$450.91	$698.78
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 $316.11 / $513.77 / $938.55	Professional		$316.11	$513.77	$938.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.22 / $487.22 / $487.22	Facility		$487.22	$487.22	$487.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.11 / $276.11 / $276.11	Professional		$276.11	$276.11	$276.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.90 / $527.54 / $703.00	Facility		$389.90	$527.54	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.47 / $494.85 / $888.81	Professional		$293.47	$494.85	$888.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.40 / $530.02 / $806.56	Professional		$349.40	$530.02	$806.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $736.60 / $1,265.09	Professional		$5.00	$736.60	$1,265.09
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 $370.14 / $524.22 / $971.68	Professional		$370.14	$524.22	$971.68