Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.04 / $3,391.00 / $6,915.00	Facility		$531.04	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $401.53 / $722.32	Professional		$341.03	$401.53	$722.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $549.16 / $943.05	Professional		$368.21	$549.16	$943.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.16 / $463.16 / $463.16	Facility		$463.16	$463.16	$463.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.21 / $340.21 / $340.21	Professional		$340.21	$340.21	$340.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $535.00 / $2,472.46	Facility		$384.00	$535.00	$2,472.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.99 / $563.05 / $845.43	Professional		$321.99	$563.05	$845.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $478.67 / $880.61	Professional		$368.21	$478.67	$880.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $666.30 / $954.60	Professional		$3.00	$666.30	$954.60
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $453.86 / $796.95	Professional		$326.77	$453.86	$796.95