Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.60 / $4,733.00 / $6,915.00	Facility		$306.60	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $210.94 / $373.92	Professional		$182.84	$210.94	$373.92
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 $193.87 / $294.14 / $519.42	Professional		$193.87	$294.14	$519.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.56 / $275.56 / $275.56	Facility		$275.56	$275.56	$275.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $177.51 / $177.51	Professional		$177.51	$177.51	$177.51
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 $196.83 / $293.94 / $508.20	Professional		$196.83	$293.94	$508.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $252.03 / $450.45	Professional		$193.87	$252.03	$450.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $355.30 / $500.00	Professional		$5.00	$355.30	$500.00
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 $179.46 / $253.03 / $446.75	Professional		$179.46	$253.03	$446.75