Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.73 / $3,826.00 / $6,915.00	Facility		$179.73	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $217.07 / $500.10	Professional		$85.49	$217.07	$500.10
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 $116.51 / $251.19 / $489.16	Professional		$116.51	$251.19	$489.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $201.27 / $309.08	Facility		$182.36	$201.27	$309.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $306.52 / $578.98	Professional		$137.63	$306.52	$578.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $272.17 / $1,090.00	Professional		$105.08	$272.17	$1,090.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $176.73 / $471.07	Professional		$143.16	$176.73	$471.07
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $2,300.00 / $4,066.00	Facility		$796.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $388.77 / $645.28	Professional		$278.77	$388.77	$645.28