Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.86 / $2,422.00 / $6,915.00	Facility		$172.86	$2,422.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $209.39 / $467.27	Professional		$70.93	$209.39	$467.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,635.81 / $3,784.98	Facility		$450.00	$1,635.81	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $219.52 / $524.37	Professional		$95.34	$219.52	$524.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.69 / $328.69 / $328.69	Facility		$328.69	$328.69	$328.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $652.00	Facility		$334.00	$535.00	$652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $228.06 / $469.74	Professional		$100.86	$228.06	$469.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $229.68 / $587.26	Professional		$81.40	$229.68	$587.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $381.84 / $594.29	Professional		$4.00	$381.84	$594.29
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 $189.58 / $289.58 / $520.72	Professional		$189.58	$289.58	$520.72