Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.05 / $2,987.00 / $6,915.00	Facility		$241.05	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $230.47 / $389.57	Professional		$167.72	$230.47	$389.57
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 $182.01 / $270.24 / $489.68	Professional		$182.01	$270.24	$489.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.85 / $409.23 / $584.51	Facility		$347.85	$409.23	$584.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $340.97 / $2,500.00	Facility		$177.38	$340.97	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $280.81 / $524.65	Professional		$177.44	$280.81	$524.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $311.52 / $601.57	Professional		$240.23	$311.52	$601.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $370.16 / $436.83	Professional		$285.58	$370.16	$436.83
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 $183.21 / $270.35 / $596.51	Professional		$183.21	$270.35	$596.51