Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $3,391.00 / $6,915.00	Facility		$276.79	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $155.35 / $393.71	Professional		$129.51	$155.35	$393.71
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 $141.12 / $258.13 / $438.08	Professional		$141.12	$258.13	$438.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.75 / $331.75 / $331.75	Facility		$331.75	$331.75	$331.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Professional		$123.00	$123.00	$123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,091.58	Facility		$334.00	$535.00	$1,091.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $269.17 / $463.60	Professional		$160.40	$269.17	$463.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $170.38 / $849.59	Professional		$131.06	$170.38	$849.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $398.30 / $460.30	Professional		$5.00	$398.30	$460.30
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 $133.71 / $237.02 / $365.82	Professional		$133.71	$237.02	$365.82