Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $2,987.00 / $6,915.00	Facility		$193.79	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $199.61 / $388.79	Professional		$164.73	$199.61	$388.79
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 $177.26 / $272.41 / $503.99	Professional		$177.26	$272.41	$503.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.01 / $256.01 / $256.01	Facility		$256.01	$256.01	$256.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.32 / $222.44 / $2,500.00	Facility		$163.32	$222.44	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $276.57 / $492.66	Professional		$180.55	$276.57	$492.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $292.04 / $489.80	Professional		$217.35	$292.04	$489.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $347.45 / $380.27	Professional		$312.27	$347.45	$380.27
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 $161.74 / $238.97 / $438.46	Professional		$161.74	$238.97	$438.46