Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.13 / $4,592.00 / $6,915.00	Facility		$429.13	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $429.13 / $794.32	Professional		$256.44	$429.13	$794.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.11 / $2,174.58 / $4,819.75	Facility		$577.11	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $520.21 / $898.13	Professional		$313.20	$520.21	$898.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.29 / $501.29 / $501.29	Facility		$501.29	$501.29	$501.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $241.19 / $241.19	Professional		$241.19	$241.19	$241.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.49 / $512.00 / $715.00	Facility		$329.49	$512.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $467.65 / $851.88	Professional		$286.69	$467.65	$851.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $481.61 / $732.88	Professional		$301.37	$481.61	$732.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $725.10 / $1,164.50	Professional		$5.00	$725.10	$1,164.50
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 $360.72 / $502.30 / $881.68	Professional		$360.72	$502.30	$881.68