Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.60 / $4,590.00 / $6,915.00	Facility		$393.60	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.64 / $398.81 / $758.43	Professional		$280.64	$398.81	$758.43
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 $322.29 / $519.14 / $877.58	Professional		$322.29	$519.14	$877.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.02 / $570.72 / $806.15	Facility		$519.02	$570.72	$806.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $257.27 / $257.27	Professional		$257.27	$257.27	$257.27
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 $305.25 / $476.46 / $837.58	Professional		$305.25	$476.46	$837.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $437.47 / $682.99	Professional		$322.87	$437.47	$682.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $757.20 / $1,037.50	Professional		$5.00	$757.20	$1,037.50
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 $360.25 / $504.98 / $841.17	Professional		$360.25	$504.98	$841.17