Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.84 / $3,295.00 / $6,915.00	Facility		$524.84	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.32 / $515.74 / $890.11	Professional		$335.32	$515.74	$890.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $677.30 / $1,107.02	Professional		$412.94	$677.30	$1,107.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.90 / $699.78 / $978.80	Facility		$633.90	$699.78	$978.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $315.45 / $315.45	Professional		$315.45	$315.45	$315.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,761.45	Facility		$453.00	$715.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $588.14 / $1,064.01	Professional		$370.00	$588.14	$1,064.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.83 / $593.85 / $947.81	Professional		$392.83	$593.85	$947.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $893.40 / $1,426.30	Professional		$5.00	$893.40	$1,426.30
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 $457.41 / $643.21 / $1,088.58	Professional		$457.41	$643.21	$1,088.58