Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $5,045.00 / $6,915.00	Facility		$272.44	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $305.39 / $558.47	Professional		$248.38	$305.39	$558.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $417.00 / $731.77	Professional		$270.74	$417.00	$731.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.40 / $407.40 / $407.40	Facility		$407.40	$407.40	$407.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.83 / $255.83 / $255.83	Professional		$255.83	$255.83	$255.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $426.98 / $665.27	Professional		$278.61	$426.98	$665.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $349.36 / $510.61	Professional		$268.74	$349.36	$510.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $437.90 / $676.90	Professional		$294.39	$437.90	$676.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $369.63 / $638.85	Professional		$260.50	$369.63	$638.85