Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.56 / $2,595.00 / $6,915.00	Facility		$262.56	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $256.80 / $478.74	Professional		$174.31	$256.80	$478.74
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 $213.03 / $344.88 / $565.84	Professional		$213.03	$344.88	$565.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.13 / $342.13 / $342.13	Facility		$342.13	$342.13	$342.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $163.72 / $163.72	Professional		$163.72	$163.72	$163.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $412.36 / $546.00	Facility		$302.79	$412.36	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $311.64 / $542.91	Professional		$192.00	$311.64	$542.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $290.88 / $442.65	Professional		$204.10	$290.88	$442.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $483.10 / $698.50	Professional		$5.00	$483.10	$698.50
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 $237.10 / $331.16 / $598.01	Professional		$237.10	$331.16	$598.01