Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.90 / $4,592.00 / $6,915.00	Facility		$230.90	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $229.12 / $392.54	Professional		$156.52	$229.12	$392.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,777.76 / $7,513.42	Facility		$603.00	$2,777.76	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $294.04 / $477.10	Professional		$183.29	$294.04	$477.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.27 / $277.27 / $277.27	Facility		$277.27	$277.27	$277.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $145.74 / $145.74	Professional		$145.74	$145.74	$145.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $3,685.16	Facility		$506.00	$703.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $268.79 / $491.36	Professional		$168.89	$268.79	$491.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.97 / $251.21 / $382.27	Professional		$182.97	$251.21	$382.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $397.10 / $603.29	Professional		$5.00	$397.10	$603.29
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 $193.11 / $276.55 / $486.47	Professional		$193.11	$276.55	$486.47