Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.60 / $3,295.00 / $6,915.00	Facility		$472.60	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $472.60 / $903.10	Professional		$327.43	$472.60	$903.10
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 $382.78 / $614.29 / $1,028.66	Professional		$382.78	$614.29	$1,028.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $296.89 / $296.89	Professional		$296.89	$296.89	$296.89
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 $363.48 / $579.69 / $1,001.48	Professional		$363.48	$579.69	$1,001.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $502.93 / $846.56	Professional		$369.78	$502.93	$846.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $883.80 / $1,219.20	Professional		$5.00	$883.80	$1,219.20
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 $431.02 / $602.05 / $1,024.08	Professional		$431.02	$602.05	$1,024.08