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 $220.53 / $253.71 / $471.99	Professional		$220.53	$253.71	$471.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $385.70 / $617.96	Professional		$225.11	$385.70	$617.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.70 / $404.70 / $404.70	Facility		$404.70	$404.70	$404.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $210.39 / $210.39	Professional		$210.39	$210.39	$210.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $625.00 / $2,880.00	Facility		$512.00	$625.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.52 / $387.50 / $615.60	Professional		$232.52	$387.50	$615.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.43 / $290.45 / $1,536.00	Professional		$223.43	$290.45	$1,536.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $341.22 / $573.60	Professional		$221.44	$341.22	$573.60
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 $228.01 / $348.49 / $606.89	Professional		$228.01	$348.49	$606.89