Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.20 / $5,045.00 / $6,915.00	Facility		$391.20	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $247.15 / $497.02	Professional		$203.75	$247.15	$497.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $1,612.78 / $2,987.00	Facility		$666.00	$1,612.78	$2,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $338.58 / $580.16	Professional		$224.24	$338.58	$580.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.76 / $382.76 / $382.76	Facility		$382.76	$382.76	$382.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $2,500.00	Facility		$256.99	$256.99	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $373.65 / $583.86	Professional		$246.75	$373.65	$583.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $365.32 / $600.67	Professional		$244.64	$365.32	$600.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $365.32 / $411.44	Professional		$325.89	$365.32	$411.44
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 $203.07 / $324.13 / $539.41	Professional		$203.07	$324.13	$539.41