Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $4,467.00 / $6,915.00	Facility		$391.00	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $390.81 / $649.88	Professional		$224.80	$390.81	$649.88
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 $277.45 / $453.82 / $799.84	Professional		$277.45	$453.82	$799.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.07 / $449.07 / $449.07	Facility		$449.07	$449.07	$449.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.84 / $212.84 / $212.84	Professional		$212.84	$212.84	$212.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,761.45	Facility		$506.00	$703.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $421.74 / $777.49	Professional		$251.75	$421.74	$777.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $438.93 / $667.94	Professional		$266.48	$438.93	$667.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $650.79 / $1,070.40	Professional		$5.00	$650.79	$1,070.40
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 $326.54 / $449.71 / $792.30	Professional		$326.54	$449.71	$792.30