Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.48 / $4,817.00 / $6,915.00	Facility		$412.48	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.87 / $274.75 / $533.77	Professional		$234.87	$274.75	$533.77
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 $246.20 / $379.60 / $643.70	Professional		$246.20	$379.60	$643.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.71 / $365.71 / $365.71	Facility		$365.71	$365.71	$365.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.04 / $226.04 / $226.04	Professional		$226.04	$226.04	$226.04
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 $250.79 / $379.51 / $603.79	Professional		$250.79	$379.51	$603.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.23 / $318.80 / $599.59	Professional		$245.23	$318.80	$599.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.70 / $627.79	Professional		$5.00	$447.70	$627.79
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 $229.73 / $326.70 / $542.64	Professional		$229.73	$326.70	$542.64