Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.95 / $3,460.00 / $6,915.00	Facility		$284.95	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $246.73 / $412.87	Professional		$148.18	$246.73	$412.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $227.07 / $398.70	Professional		$109.94	$227.07	$398.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $373.00 / $373.00	Facility		$373.00	$373.00	$373.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $165.31 / $2,500.00	Facility		$130.40	$165.31	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $300.72 / $492.04	Professional		$161.86	$300.72	$492.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $200.46 / $475.11	Professional		$112.50	$200.46	$475.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $257.64 / $404.32	Professional		$146.25	$257.64	$404.32
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $355.68 / $542.39	Professional		$232.38	$355.68	$542.39