Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $4,590.00 / $6,915.00	Facility		$36.42	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $78.31 / $183.27	Professional		$32.25	$78.31	$183.27
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 $39.42 / $79.26 / $187.41	Professional		$39.42	$79.26	$187.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.13 / $118.89 / $281.11	Professional	50	$59.13	$118.89	$281.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $43.36 / $141.96	Facility		$35.20	$43.36	$141.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $110.34 / $117.03	Professional		$92.04	$110.34	$117.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $70.31 / $196.67	Professional		$33.39	$70.31	$196.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $109.19 / $119.65	Professional		$39.74	$109.19	$119.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $101.24 / $165.38	Professional		$39.74	$101.24	$165.38
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 $75.54 / $109.36 / $229.74	Professional		$75.54	$109.36	$229.74