Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.14 / $5,045.00 / $6,915.00	Facility		$242.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $271.39 / $708.18	Professional		$220.91	$271.39	$708.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $380.96 / $664.38	Professional		$241.12	$380.96	$664.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.19 / $378.19 / $378.19	Facility		$378.19	$378.19	$378.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.64 / $227.64 / $227.64	Professional		$227.64	$227.64	$227.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $617.00 / $835.00	Facility		$506.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $388.70 / $641.72	Professional		$254.84	$388.70	$641.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $310.83 / $1,635.03	Professional		$239.11	$310.83	$1,635.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $383.37 / $481.70	Professional		$322.02	$383.37	$481.70
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 $236.71 / $350.33 / $575.35	Professional		$236.71	$350.33	$575.35