Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.73 / $3,018.00 / $6,915.00	Facility		$224.73	$3,018.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $217.53 / $437.57	Professional		$175.88	$217.53	$437.57
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 $162.47 / $265.04 / $452.07	Professional		$162.47	$265.04	$452.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.76 / $298.76 / $298.76	Facility		$298.76	$298.76	$298.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $320.20 / $2,500.00	Facility		$177.38	$320.20	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $292.39 / $488.68	Professional		$192.96	$292.39	$488.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $292.89 / $550.91	Professional		$222.25	$292.89	$550.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $300.14 / $388.94	Professional		$247.18	$300.14	$388.94
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 $189.24 / $275.04 / $474.46	Professional		$189.24	$275.04	$474.46