Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $2,760.00 / $6,915.00	Facility		$256.39	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $256.39 / $477.16	Professional		$183.03	$256.39	$477.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $337.04 / $566.44	Professional		$210.16	$337.04	$566.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.15 / $338.15 / $338.15	Facility		$338.15	$338.15	$338.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $171.48 / $171.48	Professional		$171.48	$171.48	$171.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $412.36 / $546.00	Facility		$309.02	$412.36	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $313.68 / $536.65	Professional		$200.03	$313.68	$536.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.53 / $284.74 / $441.27	Professional		$213.53	$284.74	$441.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $468.10 / $679.70	Professional		$5.00	$468.10	$679.70
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $322.22 / $544.98	Professional		$230.73	$322.22	$544.98