Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.06 / $3,460.00 / $6,915.00	Facility		$186.06	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $183.92 / $335.49	Professional		$108.23	$183.92	$335.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.98 / $2,081.07 / $4,819.75	Facility		$559.98	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $230.54 / $390.73	Professional		$136.36	$230.54	$390.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $227.81 / $227.81	Facility		$227.81	$227.81	$227.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $100.34 / $100.34	Professional		$100.34	$100.34	$100.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $453.00 / $731.00	Facility		$144.97	$453.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $207.07 / $407.41	Professional		$123.89	$207.07	$407.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $209.09 / $318.19	Professional		$125.28	$209.09	$318.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $330.70 / $504.00	Professional		$5.00	$330.70	$504.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,592.00 / $5,272.00	Facility		$550.00	$2,592.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $227.56 / $393.53	Professional		$158.56	$227.56	$393.53