Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $3,391.00 / $6,915.00	Facility		$164.96	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $142.88 / $283.89	Professional		$91.48	$142.88	$283.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $180.04 / $292.64	Professional		$112.35	$180.04	$292.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $182.64 / $213.09	Facility		$155.24	$182.64	$213.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $200.90 / $313.37	Professional		$109.30	$200.90	$313.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $161.63 / $595.00	Professional		$103.19	$161.63	$595.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $153.91 / $256.58	Professional		$94.88	$153.91	$256.58
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $220.02 / $336.63	Professional		$150.57	$220.02	$336.63