Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $5,063.00 / $9,512.00	Facility		$107.01	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $1,633.10 / $3,303.30	Professional		$82.80	$1,633.10	$3,303.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,400.00 / $8,702.00	Facility		$1,406.20	$4,400.00	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $313.98 / $4,516.52	Professional		$90.67	$313.98	$4,516.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,913.14 / $3,913.14 / $3,913.14	Facility		$3,913.14	$3,913.14	$3,913.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $81.83 / $81.83	Professional		$81.83	$81.83	$81.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Facility		$148.97	$148.97	$148.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $1,167.49 / $4,019.16	Professional		$83.99	$1,167.49	$4,019.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $2,068.63 / $4,396.54	Professional		$94.89	$2,068.63	$4,396.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $4,144.30 / $5,078.60	Professional		$144.91	$4,144.30	$5,078.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,794.00 / $14,048.00	Facility		$1,250.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.70 / $2,659.73 / $5,001.33	Professional		$1,740.70	$2,659.73	$5,001.33