Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.85 / $3,460.00 / $6,915.00	Facility		$230.85	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $230.85 / $454.75	Professional		$161.18	$230.85	$454.75
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 $196.03 / $309.89 / $524.61	Professional		$196.03	$309.89	$524.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.89 / $322.89 / $322.89	Facility		$322.89	$322.89	$322.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $152.91 / $152.91	Professional		$152.91	$152.91	$152.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,761.45	Facility		$448.00	$715.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $297.66 / $506.40	Professional		$177.63	$297.66	$506.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $262.68 / $466.39	Professional		$190.00	$262.68	$466.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $435.50 / $611.50	Professional		$5.00	$435.50	$611.50
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 $213.41 / $306.43 / $508.69	Professional		$213.41	$306.43	$508.69