Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $2,987.00 / $6,915.00	Facility		$79.81	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $145.79 / $300.16	Professional		$44.39	$145.79	$300.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $72.53 / $163.18	Professional		$44.59	$72.53	$163.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $89.58 / $106.41	Facility		$76.16	$89.58	$106.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $166.30 / $431.67	Professional		$52.46	$166.30	$431.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $230.00 / $466.58	Professional		$51.53	$230.00	$466.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $290.30 / $609.70	Professional		$5.00	$290.30	$609.70
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 $165.61 / $233.54 / $470.03	Professional		$165.61	$233.54	$470.03