Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.29 / $2,987.00 / $6,915.00	Facility		$159.29	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $157.47 / $307.30	Professional		$104.18	$157.47	$307.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $200.81 / $344.08	Professional		$122.28	$200.81	$344.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $219.45 / $219.45	Facility		$219.45	$219.45	$219.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $96.96 / $96.96	Professional		$96.96	$96.96	$96.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $338.00 / $546.00	Facility		$107.64	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $196.86 / $353.59	Professional		$121.93	$196.86	$353.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $165.97 / $263.61	Professional		$121.46	$165.97	$263.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $312.89 / $404.00	Professional		$5.00	$312.89	$404.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $211.99 / $346.40	Professional		$147.25	$211.99	$346.40