Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.39 / $3,391.00 / $6,915.00	Facility		$578.39	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $377.79 / $724.33	Professional		$317.41	$377.79	$724.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.28 / $543.94 / $947.27	Professional		$330.28	$543.94	$947.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.70 / $534.70 / $534.70	Facility		$534.70	$534.70	$534.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.49 / $305.49 / $305.49	Professional		$305.49	$305.49	$305.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $1,399.99	Facility		$338.00	$535.00	$1,399.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $526.12 / $849.20	Professional		$342.68	$526.12	$849.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.24 / $425.41 / $899.59	Professional		$327.24	$425.41	$899.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $616.90 / $839.10	Professional		$5.00	$616.90	$839.10
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $469.10 / $796.89	Professional		$327.43	$469.10	$796.89