Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.88 / $3,391.00 / $6,915.00	Facility		$316.88	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.98 / $284.92 / $510.84	Professional		$241.98	$284.92	$510.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $374.88 / $675.36	Professional		$245.01	$374.88	$675.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.31 / $294.31 / $294.31	Facility		$294.31	$294.31	$294.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $248.60 / $248.60	Professional		$248.60	$248.60	$248.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,765.90	Facility		$506.00	$700.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $374.38 / $623.42	Professional		$236.75	$374.38	$623.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.24 / $326.69 / $544.48	Professional		$272.24	$326.69	$544.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.90 / $719.50	Professional		$5.00	$402.90	$719.50
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $309.95 / $572.73	Professional		$220.87	$309.95	$572.73