Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $3,287.20 / $6,915.00	Facility		$122.40	$3,287.20	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $151.31 / $347.06	Professional		$64.95	$151.31	$347.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $164.48 / $351.56	Professional		$79.29	$164.48	$351.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $136.04 / $208.92	Facility		$124.77	$136.04	$208.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $139.75 / $139.75	Facility		$139.75	$139.75	$139.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $193.21 / $350.00	Professional		$85.69	$193.21	$350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $168.04 / $384.58	Professional		$71.90	$168.04	$384.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $102.33 / $260.08	Professional		$87.93	$102.33	$260.08
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $237.85 / $366.92	Professional		$171.88	$237.85	$366.92