Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.67 / $2,595.00 / $6,915.00	Facility		$234.67	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $234.67 / $460.41	Professional		$159.43	$234.67	$460.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $309.52 / $515.60	Professional		$193.16	$309.52	$515.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.81 / $322.81 / $322.81	Facility		$322.81	$322.81	$322.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $150.81 / $150.81	Professional		$150.81	$150.81	$150.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $506.00 / $703.00	Facility		$163.65	$506.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $293.57 / $509.68	Professional		$179.47	$293.57	$509.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $262.43 / $399.35	Professional		$187.89	$262.43	$399.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.20 / $618.50	Professional		$5.00	$447.20	$618.50
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,491.00 / $5,272.00	Facility		$550.00	$2,491.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $309.54 / $551.72	Professional		$215.34	$309.54	$551.72