Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,592.00 / $6,915.00	Facility		$1,194.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $169.50 / $311.39	Professional		$142.41	$169.50	$311.39
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 $156.58 / $259.87 / $445.50	Professional		$156.58	$259.87	$445.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.36 / $267.36 / $267.36	Facility		$267.36	$267.36	$267.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Professional		$139.97	$139.97	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,418.47	Facility		$506.00	$703.00	$1,418.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $253.25 / $389.74	Professional		$172.63	$253.25	$389.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $192.62 / $1,265.00	Professional		$148.16	$192.62	$1,265.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $382.20	Professional		$4.00	$4.00	$382.20
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 $150.44 / $219.53 / $358.23	Professional		$150.44	$219.53	$358.23