Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.91 / $2,800.00 / $6,915.00	Facility		$249.91	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $242.33 / $456.52	Professional		$147.54	$242.33	$456.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $241.15 / $436.42	Professional		$168.38	$241.15	$436.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $354.39 / $502.82	Facility		$290.52	$354.39	$502.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $974.44	Facility		$284.08	$284.08	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $300.54 / $592.60	Professional		$172.57	$300.54	$592.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $319.66 / $726.40	Professional		$201.89	$319.66	$726.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $455.87 / $620.21	Professional		$267.95	$455.87	$620.21
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $324.64 / $660.10	Professional		$232.16	$324.64	$660.10