Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.21 / $3,391.00 / $6,915.00	Facility		$590.21	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $484.33 / $786.98	Professional		$178.71	$484.33	$786.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.15 / $543.59 / $1,124.73	Professional		$235.15	$543.59	$1,124.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $882.05 / $882.05	Facility		$882.05	$882.05	$882.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $166.54 / $166.54	Professional		$166.54	$166.54	$166.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $2,880.00	Facility		$512.00	$835.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $493.83 / $1,197.94	Professional		$223.03	$493.83	$1,197.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.64 / $523.12 / $1,430.71	Professional		$203.64	$523.12	$1,430.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $545.62 / $1,031.70	Professional		$224.10	$545.62	$1,031.70
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 $523.54 / $789.21 / $1,374.43	Professional		$523.54	$789.21	$1,374.43