Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.87 / $2,678.00 / $6,915.00	Facility		$230.87	$2,678.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $382.99 / $682.91	Professional		$125.70	$382.99	$682.91
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 $161.80 / $382.03 / $929.36	Professional		$161.80	$382.03	$929.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.90 / $635.90 / $635.90	Facility		$635.90	$635.90	$635.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $118.73 / $118.73	Professional		$118.73	$118.73	$118.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,765.90	Facility		$334.00	$535.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $386.07 / $943.01	Professional		$150.25	$386.07	$943.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $422.91 / $634.37	Professional		$147.00	$422.91	$634.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $444.06 / $1,026.20	Professional		$134.22	$444.06	$1,026.20
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 $393.10 / $554.24 / $941.82	Professional		$393.10	$554.24	$941.82