Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.85 / $2,950.00 / $6,915.00	Facility		$263.85	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $278.95 / $484.73	Professional		$155.87	$278.95	$484.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $332.47 / $631.63	Professional		$193.50	$332.47	$631.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.86 / $323.86 / $323.86	Facility		$323.86	$323.86	$323.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $147.16 / $147.16	Professional		$147.16	$147.16	$147.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,761.45	Facility		$448.00	$715.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $293.87 / $596.91	Professional		$169.36	$293.87	$596.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $297.88 / $503.42	Professional		$186.05	$297.88	$503.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $505.40 / $852.30	Professional		$5.00	$505.40	$852.30
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 $242.78 / $337.35 / $612.14	Professional		$242.78	$337.35	$612.14