Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.48 / $5,045.00 / $6,915.00	Facility		$310.48	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $190.43 / $405.06	Professional		$159.46	$190.43	$405.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $266.70 / $482.86	Professional		$174.19	$266.70	$482.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.87 / $325.87 / $325.87	Facility		$325.87	$325.87	$325.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $2,172.58	Facility		$199.04	$199.04	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.83 / $283.32 / $453.79	Professional		$184.83	$283.32	$453.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $289.72 / $548.00	Professional		$188.57	$289.72	$548.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $276.27 / $317.14	Professional		$268.14	$276.27	$317.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $265.22 / $437.09	Professional		$153.18	$265.22	$437.09