Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.93 / $5,063.00 / $6,915.00	Facility		$505.93	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.69 / $550.25 / $976.10	Professional		$444.69	$550.25	$976.10
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 $505.84 / $782.74 / $1,334.37	Professional		$505.84	$782.74	$1,334.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $552.50 / $552.50	Facility		$552.50	$552.50	$552.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.26 / $467.26 / $467.26	Professional		$467.26	$467.26	$467.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,532.43 / $2,140.80	Facility		$512.00	$1,532.43	$2,140.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.98 / $759.60 / $1,182.82	Professional		$493.98	$759.60	$1,182.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.50 / $657.15 / $2,179.00	Professional		$505.50	$657.15	$2,179.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $845.10 / $1,312.30	Professional		$5.00	$845.10	$1,312.30
United Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $5,000.00 / $8,448.00	Facility		$685.00	$5,000.00	$8,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.42 / $662.48 / $1,127.66	Professional		$467.42	$662.48	$1,127.66