Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.67 / $3,360.00 / $6,915.00	Facility		$290.67	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $195.15 / $472.95	Professional		$158.41	$195.15	$472.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $273.06 / $459.28	Professional		$180.51	$273.06	$459.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.85 / $232.85 / $232.85	Facility		$232.85	$232.85	$232.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $167.96 / $167.96	Professional		$167.96	$167.96	$167.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $1,765.90	Facility		$338.00	$535.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.97 / $279.47 / $463.16	Professional		$171.97	$279.47	$463.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $235.20 / $611.26	Professional		$180.92	$235.20	$611.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $307.80 / $459.60	Professional		$5.00	$307.80	$459.60
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $221.86 / $384.87	Professional		$159.16	$221.86	$384.87