Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $3,391.00 / $6,915.00	Facility		$571.29	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $444.92 / $817.40	Professional		$381.73	$444.92	$817.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.60 / $610.96 / $1,069.40	Professional		$406.60	$610.96	$1,069.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $590.82 / $590.82 / $590.82	Facility		$590.82	$590.82	$590.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.39 / $376.39 / $376.39	Professional		$376.39	$376.39	$376.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.49 / $194.43 / $631.54	Facility		$140.49	$194.43	$631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.13 / $591.96 / $998.72	Professional		$383.13	$591.96	$998.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.60 / $528.58 / $939.74	Professional		$406.60	$528.58	$939.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $755.10 / $1,056.20	Professional		$5.00	$755.10	$1,056.20
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $550.33 / $903.60	Professional		$382.38	$550.33	$903.60