Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.77 / $4,733.00 / $6,915.00	Facility		$630.77	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $371.95 / $724.60	Professional		$312.49	$371.95	$724.60
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 $337.85 / $552.17 / $942.46	Professional		$337.85	$552.17	$942.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.19 / $607.19 / $607.19	Facility		$607.19	$607.19	$607.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.50 / $308.50 / $308.50	Professional		$308.50	$308.50	$308.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $2,698.59	Facility		$506.00	$703.00	$2,698.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $560.45 / $852.19	Professional		$357.88	$560.45	$852.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $416.82 / $815.23	Professional		$320.63	$416.82	$815.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $636.70 / $789.00	Professional		$4.00	$636.70	$789.00
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 $327.58 / $511.88 / $797.20	Professional		$327.58	$511.88	$797.20