Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.84 / $4,368.00 / $6,915.00	Facility		$641.84	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $462.70 / $831.26	Professional		$375.80	$462.70	$831.26
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 $426.55 / $632.77 / $1,100.60	Professional		$426.55	$632.77	$1,100.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.54 / $551.54 / $551.54	Facility		$551.54	$551.54	$551.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $394.39 / $394.39	Professional		$394.39	$394.39	$394.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $693.84 / $873.00	Facility		$453.00	$693.84	$873.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.85 / $616.85 / $1,006.78	Professional		$392.85	$616.85	$1,006.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.23 / $551.50 / $993.17	Professional		$424.23	$551.50	$993.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $714.70 / $1,088.00	Professional		$5.00	$714.70	$1,088.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,491.00 / $5,272.00	Facility		$550.00	$2,491.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.47 / $534.67 / $918.20	Professional		$374.47	$534.67	$918.20