Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.64 / $3,391.00 / $6,915.00	Facility		$297.64	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $218.44 / $535.64	Professional		$169.53	$218.44	$535.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $361.29 / $739.43	Professional		$199.26	$361.29	$739.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $172.66 / $172.66	Professional		$172.66	$172.66	$172.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,233.00	Facility		$506.00	$703.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $316.05 / $1,075.20	Professional		$190.00	$316.05	$1,075.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.74 / $499.14 / $763.16	Professional		$212.74	$499.14	$763.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $407.40 / $850.36	Professional		$184.99	$407.40	$850.36
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $248.87 / $651.40	Professional		$175.82	$248.87	$651.40