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 $262.63 / $301.35 / $562.02	Professional		$262.63	$301.35	$562.02
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 $267.41 / $465.68 / $742.97	Professional		$267.41	$465.68	$742.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.55 / $482.55 / $482.55	Facility		$482.55	$482.55	$482.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $249.85 / $249.85	Professional		$249.85	$249.85	$249.85
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 $261.95 / $460.52 / $731.26	Professional		$261.95	$460.52	$731.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.17 / $344.72 / $1,814.00	Professional		$265.17	$344.72	$1,814.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $404.40 / $684.10	Professional		$262.89	$404.40	$684.10
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 $271.45 / $408.77 / $696.23	Professional		$271.45	$408.77	$696.23