Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.39 / $4,342.00 / $6,915.00	Facility		$550.39	$4,342.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.40 / $539.49 / $990.26	Professional		$342.40	$539.49	$990.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.66 / $690.19 / $1,115.96	Professional		$406.66	$690.19	$1,115.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.97 / $635.97 / $635.97	Facility		$635.97	$635.97	$635.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $317.49 / $317.49	Professional		$317.49	$317.49	$317.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,761.45	Facility		$512.00	$703.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $581.10 / $1,058.48	Professional		$370.29	$581.10	$1,058.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $604.83 / $920.40	Professional		$396.77	$604.83	$920.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $868.60 / $1,464.00	Professional		$5.00	$868.60	$1,464.00
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 $461.07 / $650.13 / $1,138.33	Professional		$461.07	$650.13	$1,138.33