Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $3,460.00 / $10,897.00	Facility		$87.98	$3,460.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.42 / $113.34	Professional		$50.12	$57.42	$113.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,099.35 / $4,143.39	Facility		$759.49	$2,099.35	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $81.15 / $150.76	Professional		$48.72	$81.15	$150.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $76.66 / $76.66	Facility		$76.66	$76.66	$76.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $45.03 / $45.03	Professional		$45.03	$45.03	$45.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $57.01 / $57.01	Facility		$57.01	$57.01	$57.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $81.37 / $134.25	Professional		$54.62	$81.37	$134.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $61.67 / $192.53	Professional		$47.44	$61.67	$192.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $101.20 / $470.38	Professional		$47.77	$101.20	$470.38
United Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,550.00 / $2,665.00	Facility		$389.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $70.48 / $114.70	Professional		$49.00	$70.48	$114.70