Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $5,045.00 / $6,915.00	Facility		$233.79	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $262.01 / $480.19	Professional		$213.64	$262.01	$480.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $356.97 / $627.50	Professional		$233.42	$356.97	$627.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.07 / $350.07 / $350.07	Facility		$350.07	$350.07	$350.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $220.04 / $220.04	Professional		$220.04	$220.04	$220.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $367.13 / $553.64	Professional		$240.29	$367.13	$553.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.15 / $300.50 / $439.19	Professional		$231.15	$300.50	$439.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $407.90 / $582.00	Professional		$245.20	$407.90	$582.00
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.17 / $326.75 / $625.89	Professional		$227.17	$326.75	$625.89