Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.85 / $3,295.00 / $6,915.00	Facility		$302.85	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.68 / $306.56 / $641.65	Professional		$220.68	$306.56	$641.65
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 $256.01 / $418.89 / $687.64	Professional		$256.01	$418.89	$687.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.05 / $436.05 / $436.05	Facility		$436.05	$436.05	$436.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $208.47 / $208.47	Professional		$208.47	$208.47	$208.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $873.00	Facility		$448.00	$715.00	$873.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $387.12 / $647.66	Professional		$246.85	$387.12	$647.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $343.22 / $551.92	Professional		$258.29	$343.22	$551.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $563.29 / $796.70	Professional		$5.00	$563.29	$796.70
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 $276.72 / $399.65 / $687.95	Professional		$276.72	$399.65	$687.95