Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.26 / $3,295.00 / $6,915.00	Facility		$280.26	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $289.54 / $488.53	Professional		$162.87	$289.54	$488.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $346.14 / $651.80	Professional		$196.50	$346.14	$651.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.84 / $361.84 / $361.84	Facility		$361.84	$361.84	$361.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $154.32 / $154.32	Professional		$154.32	$154.32	$154.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $693.84 / $873.00	Facility		$448.00	$693.84	$873.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $321.57 / $632.99	Professional		$184.65	$321.57	$632.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.59 / $357.63 / $544.22	Professional		$192.59	$357.63	$544.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $519.29 / $878.10	Professional		$5.00	$519.29	$878.10
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,496.00 / $5,272.00	Facility		$550.00	$2,496.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.07 / $376.03 / $639.05	Professional		$258.07	$376.03	$639.05