Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.62 / $3,295.00 / $6,915.00	Facility		$330.62	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $330.62 / $628.75	Professional		$252.89	$330.62	$628.75
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 $289.23 / $458.21 / $787.71	Professional		$289.23	$458.21	$787.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.98 / $472.98 / $472.98	Facility		$472.98	$472.98	$472.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.93 / $236.93 / $236.93	Professional		$236.93	$236.93	$236.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $3,685.16	Facility		$448.00	$715.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $431.84 / $703.95	Professional		$279.30	$431.84	$703.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $382.41 / $669.96	Professional		$293.18	$382.41	$669.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $603.40 / $870.50	Professional		$5.00	$603.40	$870.50
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 $307.57 / $435.32 / $765.15	Professional		$307.57	$435.32	$765.15