Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.12 / $4,368.00 / $6,915.00	Facility		$506.12	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $320.64 / $640.22	Professional		$268.70	$320.64	$640.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,098.00 / $6,065.87	Facility		$572.89	$2,098.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $461.97 / $794.91	Professional		$285.83	$461.97	$794.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $510.34 / $510.34 / $510.34	Facility		$510.34	$510.34	$510.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.95 / $257.95 / $257.95	Professional		$257.95	$257.95	$257.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $4,005.76	Facility		$448.00	$715.00	$4,005.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.27 / $472.44 / $711.66	Professional		$313.27	$472.44	$711.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $350.23 / $632.57	Professional		$269.41	$350.23	$632.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $541.90 / $662.40	Professional		$4.00	$541.90	$662.40
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.74 / $430.23 / $726.61	Professional		$272.74	$430.23	$726.61