Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.04 / $2,595.00 / $6,915.00	Facility		$538.04	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.98 / $538.04 / $928.23	Professional		$348.98	$538.04	$928.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $698.47 / $1,139.36	Professional		$419.08	$698.47	$1,139.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.21 / $685.21 / $685.21	Facility		$685.21	$685.21	$685.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $326.63 / $326.63	Professional		$326.63	$326.63	$326.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $1,761.45	Facility		$338.00	$546.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.66 / $592.04 / $1,090.28	Professional		$380.66	$592.04	$1,090.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.40 / $609.27 / $1,127.16	Professional		$406.40	$609.27	$1,127.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $920.10 / $1,458.50	Professional		$5.00	$920.10	$1,458.50
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 $464.14 / $658.27 / $1,122.70	Professional		$464.14	$658.27	$1,122.70