Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.29 / $2,595.00 / $6,915.00	Facility		$415.29	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $405.04 / $678.00	Professional		$205.02	$405.04	$678.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $490.83 / $939.89	Professional		$265.45	$490.83	$939.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.06 / $661.06 / $661.06	Facility		$661.06	$661.06	$661.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $191.65 / $191.65	Professional		$191.65	$191.65	$191.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $546.00 / $2,880.00	Facility		$354.09	$546.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $452.36 / $861.64	Professional		$251.70	$452.36	$861.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $448.12 / $874.66	Professional		$234.13	$448.12	$874.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $414.99 / $837.88	Professional		$256.10	$414.99	$837.88
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 $376.05 / $559.84 / $942.11	Professional		$376.05	$559.84	$942.11