Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.73 / $5,063.00 / $6,915.00	Facility		$330.73	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $216.40 / $430.39	Professional		$173.41	$216.40	$430.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $299.89 / $514.72	Professional		$199.57	$299.89	$514.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.36 / $280.36 / $280.36	Facility		$280.36	$280.36	$280.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $181.51 / $181.51	Professional		$181.51	$181.51	$181.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $1,761.45	Facility		$506.00	$868.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $300.16 / $519.38	Professional		$197.75	$300.16	$519.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $257.54 / $448.97	Professional		$198.11	$257.54	$448.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $362.50 / $511.10	Professional		$5.00	$362.50	$511.10
United Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $3,333.00 / $6,953.00	Facility		$615.00	$3,333.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $253.08 / $428.95	Professional		$181.31	$253.08	$428.95