Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $2,595.00 / $6,915.00	Facility		$111.83	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $136.96 / $305.17	Professional		$59.57	$136.96	$305.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $153.71 / $297.05	Professional		$80.84	$153.71	$297.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $142.32 / $218.57	Facility		$128.79	$142.32	$218.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $171.98 / $333.70	Professional		$94.05	$171.98	$333.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $156.86 / $199.64	Professional		$74.20	$156.86	$199.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $185.05 / $252.73	Professional		$93.90	$185.05	$252.73
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $198.91 / $327.17	Professional		$149.18	$198.91	$327.17