Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $3,391.00 / $6,915.00	Facility		$193.31	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $193.31 / $302.08	Professional		$135.32	$193.31	$302.08
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 $146.69 / $225.22 / $496.75	Professional		$146.69	$225.22	$496.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.18 / $166.18 / $166.18	Facility		$166.18	$166.18	$166.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $154.02 / $154.02	Professional		$154.02	$154.02	$154.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $193.75	Facility		$193.75	$193.75	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $213.36 / $418.03	Professional		$132.97	$213.36	$418.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $210.91 / $662.47	Professional		$162.24	$210.91	$662.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $214.30 / $424.40	Professional		$185.30	$214.30	$424.40
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 $124.10 / $189.64 / $365.66	Professional		$124.10	$189.64	$365.66