Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $2,221.00 / $6,915.00	Facility		$54.19	$2,221.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $56.01 / $130.32	Professional		$20.95	$56.01	$130.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $54.43 / $140.26	Professional		$24.81	$54.43	$140.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.22 / $81.64 / $210.39	Professional	50	$37.22	$81.64	$210.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $25.80 / $82.29	Facility		$21.06	$25.80	$82.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $86.80 / $91.84	Professional		$71.90	$86.80	$91.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $50.09 / $153.62	Professional		$21.16	$50.09	$153.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $72.40 / $98.34	Professional		$23.65	$72.40	$98.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $74.56 / $126.77	Professional		$23.65	$74.56	$126.77
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $81.09 / $187.22	Professional		$58.75	$81.09	$187.22