Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.63 / $3,295.00 / $6,915.00	Facility		$337.63	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $336.46 / $558.83	Professional		$235.33	$336.46	$558.83
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 $248.22 / $446.92 / $730.33	Professional		$248.22	$446.92	$730.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.83 / $386.83 / $386.83	Facility		$386.83	$386.83	$386.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $220.24 / $220.24	Professional		$220.24	$220.24	$220.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,765.90	Facility		$448.00	$715.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $397.37 / $728.57	Professional		$242.81	$397.37	$728.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $359.99 / $595.49	Professional		$275.99	$359.99	$595.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $565.79 / $926.40	Professional		$5.00	$565.79	$926.40
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 $280.66 / $395.79 / $757.80	Professional		$280.66	$395.79	$757.80