Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.92 / $5,045.00 / $6,915.00	Facility		$380.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $426.97 / $780.81	Professional		$350.26	$426.97	$780.81
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 $378.90 / $583.04 / $1,037.40	Professional		$378.90	$583.04	$1,037.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $598.90 / $598.90 / $598.90	Facility		$598.90	$598.90	$598.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $358.43 / $358.43 / $358.43	Professional		$358.43	$358.43	$358.43
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 $398.76 / $601.76 / $901.92	Professional		$398.76	$601.76	$901.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.55 / $489.52 / $715.45	Professional		$376.55	$489.52	$715.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.90 / $666.10 / $946.80	Professional		$417.90	$666.10	$946.80
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 $364.10 / $525.92 / $900.13	Professional		$364.10	$525.92	$900.13