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 $218.56 / $251.08 / $467.85	Professional		$218.56	$251.08	$467.85
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 $223.15 / $388.26 / $618.66	Professional		$223.15	$388.26	$618.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.57 / $208.57 / $208.57	Professional		$208.57	$208.57	$208.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.54 / $384.02 / $610.23	Professional		$230.54	$384.02	$610.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $287.94 / $1,519.00	Professional		$221.49	$287.94	$1,519.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $338.45 / $568.60	Professional		$219.56	$338.45	$568.60
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 $222.31 / $331.91 / $556.83	Professional		$222.31	$331.91	$556.83