Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.78 / $2,678.00 / $6,915.00	Facility		$201.78	$2,678.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $206.67 / $371.70	Professional		$113.73	$206.67	$371.70
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 $146.36 / $251.92 / $447.22	Professional		$146.36	$251.92	$447.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.22 / $287.22 / $287.22	Facility		$287.22	$287.22	$287.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $110.29 / $110.29	Professional		$110.29	$110.29	$110.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,761.45	Facility		$334.00	$535.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $221.47 / $448.89	Professional		$129.25	$221.47	$448.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $239.49 / $362.12	Professional		$139.36	$239.49	$362.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $388.90 / $586.20	Professional		$5.00	$388.90	$586.20
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 $187.30 / $279.97 / $495.55	Professional		$187.30	$279.97	$495.55