Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $4,592.00 / $6,915.00	Facility		$206.39	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $132.26 / $273.70	Professional		$75.78	$132.26	$273.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $2,753.31 / $5,240.56	Facility		$1,078.17	$2,753.31	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $165.39 / $290.68	Professional		$118.14	$165.39	$290.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.23 / $236.15 / $362.66	Facility		$222.23	$236.15	$362.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $195.13 / $307.45	Professional		$130.16	$195.13	$307.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $151.66 / $221.26	Professional		$116.67	$151.66	$221.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $185.13 / $215.84	Professional		$176.03	$185.13	$215.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $160.61 / $282.07	Professional		$121.46	$160.61	$282.07