Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $2,987.00 / $6,915.00	Facility		$241.25	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $241.27 / $517.36	Professional		$195.29	$241.27	$517.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $315.27 / $580.32	Professional		$217.89	$315.27	$580.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.36 / $317.36 / $317.36	Facility		$317.36	$317.36	$317.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $383.97 / $2,500.00	Facility		$177.38	$383.97	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.81 / $327.27 / $584.29	Professional		$212.81	$327.27	$584.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $320.52 / $600.15	Professional		$263.58	$320.52	$600.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $361.93 / $425.33	Professional		$298.33	$361.93	$425.33
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $301.27 / $545.26	Professional		$199.28	$301.27	$545.26