Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,430.00 / $6,915.00	Facility		$632.00	$3,430.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $285.87 / $532.72	Professional		$241.44	$285.87	$532.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $438.86 / $706.53	Professional		$257.45	$438.86	$706.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.39 / $457.39 / $457.39	Facility		$457.39	$457.39	$457.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $236.86 / $236.86	Professional		$236.86	$236.86	$236.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $3,415.99	Facility		$512.00	$835.00	$3,415.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $416.85 / $605.01	Professional		$279.00	$416.85	$605.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $326.86 / $1,730.00	Professional		$251.43	$326.86	$1,730.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $384.06 / $649.60	Professional		$249.17	$384.06	$649.60
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 $255.32 / $362.15 / $604.99	Professional		$255.32	$362.15	$604.99