Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.81 / $5,045.00 / $6,915.00	Facility		$209.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $234.81 / $432.29	Professional		$202.58	$234.81	$432.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $2,722.51 / $6,875.63	Facility		$635.00	$2,722.51	$6,875.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $326.47 / $572.89	Professional		$206.62	$326.47	$572.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.78 / $329.78 / $329.78	Facility		$329.78	$329.78	$329.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $193.51 / $193.51	Professional		$193.51	$193.51	$193.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $350.18 / $565.04	Professional		$232.63	$350.18	$565.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $267.19 / $510.18	Professional		$205.53	$267.19	$510.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $401.00 / $526.90	Professional		$6.00	$401.00	$526.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $298.39 / $496.91	Professional		$203.53	$298.39	$496.91