Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.97 / $4,733.00 / $6,915.00	Facility		$549.97	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $324.08 / $637.91	Professional		$271.08	$324.08	$637.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $2,418.91 / $6,065.87	Facility		$594.10	$2,418.91	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $472.62 / $819.42	Professional		$289.44	$472.62	$819.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.97 / $508.97 / $508.97	Facility		$508.97	$508.97	$508.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $260.11 / $260.11	Professional		$260.11	$260.11	$260.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $4,005.76	Facility		$506.00	$703.00	$4,005.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.45 / $478.05 / $712.30	Professional		$312.45	$478.05	$712.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.33 / $351.44 / $819.95	Professional		$270.33	$351.44	$819.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $544.50 / $663.50	Professional		$4.00	$544.50	$663.50
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $6,868.00 / $15,026.00	Facility		$886.00	$6,868.00	$15,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $429.07 / $681.70	Professional		$275.64	$429.07	$681.70