Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,430.00 / $6,915.00	Facility		$632.00	$3,430.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $110.62 / $172.66	Professional		$96.38	$110.62	$172.66
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 $94.49 / $164.14 / $294.74	Professional		$94.49	$164.14	$294.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $172.46 / $172.46	Facility		$172.46	$172.46	$172.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Professional		$88.68	$88.68	$88.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $164.96 / $258.39	Professional		$105.88	$164.96	$258.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $121.41 / $765.21	Professional		$93.39	$121.41	$765.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $241.40 / $241.40	Professional		$241.40	$241.40	$241.40
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 $97.41 / $138.50 / $234.40	Professional		$97.41	$138.50	$234.40