Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.87 / $3,391.00 / $6,915.00	Facility		$502.87	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $360.77 / $652.30	Professional		$307.32	$360.77	$652.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $498.01 / $865.92	Professional		$333.74	$498.01	$865.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.01 / $440.01 / $440.01	Facility		$440.01	$440.01	$440.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.97 / $308.97 / $308.97	Professional		$308.97	$308.97	$308.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $535.00 / $1,239.30	Facility		$379.05	$535.00	$1,239.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.54 / $508.25 / $792.42	Professional		$308.54	$508.25	$792.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $433.86 / $853.70	Professional		$333.74	$433.86	$853.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $598.00 / $856.20	Professional		$3.00	$598.00	$856.20
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 $308.42 / $424.45 / $743.24	Professional		$308.42	$424.45	$743.24