Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $4,195.00 / $6,915.00	Facility		$265.63	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $263.52 / $506.13	Professional		$164.96	$263.52	$506.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.98 / $2,081.07 / $4,819.75	Facility		$559.98	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $332.14 / $580.49	Professional		$200.69	$332.14	$580.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.53 / $340.53 / $340.53	Facility		$340.53	$340.53	$340.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $146.31 / $146.31	Professional		$146.31	$146.31	$146.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.64 / $453.00 / $731.00	Facility		$189.64	$453.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.29 / $325.00 / $561.58	Professional		$193.29	$325.00	$561.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $282.14 / $496.82	Professional		$182.77	$282.14	$496.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $530.00 / $692.10	Professional		$5.00	$530.00	$692.10
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 $246.30 / $342.33 / $587.17	Professional		$246.30	$342.33	$587.17