Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.68 / $3,460.00 / $6,915.00	Facility		$384.68	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $403.06 / $785.52	Professional		$228.22	$403.06	$785.52
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 $300.60 / $500.84 / $818.07	Professional		$300.60	$500.84	$818.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.28 / $394.28 / $394.28	Facility		$394.28	$394.28	$394.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.11 / $345.11 / $345.11	Professional		$345.11	$345.11	$345.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $535.00 / $1,765.90	Facility		$384.00	$535.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $414.02 / $819.07	Professional		$265.00	$414.02	$819.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $451.88 / $753.14	Professional		$376.57	$451.88	$753.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $588.23 / $696.65	Professional		$354.00	$588.23	$696.65
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 $313.14 / $442.71 / $813.16	Professional		$313.14	$442.71	$813.16