Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.66 / $4,368.00 / $6,915.00	Facility		$564.66	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $408.45 / $782.64	Professional		$344.13	$408.45	$782.64
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 $376.98 / $571.57 / $968.83	Professional		$376.98	$571.57	$968.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.61 / $493.61 / $493.61	Facility		$493.61	$493.61	$493.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.57 / $348.57 / $348.57	Professional		$348.57	$348.57	$348.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,765.90	Facility		$448.00	$715.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.42 / $574.13 / $885.60	Professional		$349.42	$574.13	$885.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.26 / $487.84 / $1,011.53	Professional		$375.26	$487.84	$1,011.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $670.30 / $960.80	Professional		$5.00	$670.30	$960.80
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $3,512.00 / $6,575.00	Facility		$624.00	$3,512.00	$6,575.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.27 / $468.48 / $812.21	Professional		$343.27	$468.48	$812.21