Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.44 / $3,391.00 / $6,915.00	Facility		$300.44	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $233.24 / $407.15	Professional		$190.44	$233.24	$407.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $314.45 / $558.17	Professional		$203.52	$314.45	$558.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $280.27 / $280.27	Facility		$280.27	$280.27	$280.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $197.51 / $197.51	Professional		$197.51	$197.51	$197.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $652.00	Facility		$334.00	$535.00	$652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $316.01 / $508.18	Professional		$185.58	$316.01	$508.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $254.59 / $459.52	Professional		$212.16	$254.59	$459.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $366.40 / $544.60	Professional		$5.00	$366.40	$544.60
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $260.91 / $459.76	Professional		$190.45	$260.91	$459.76