Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.75 / $2,987.00 / $6,915.00	Facility		$154.75	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $160.43 / $271.58	Professional		$88.32	$160.43	$271.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $193.38 / $344.22	Professional		$112.03	$193.38	$344.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Facility		$191.26	$191.26	$191.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $83.19 / $83.19	Professional		$83.19	$83.19	$83.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $338.00 / $546.00	Facility		$138.38	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $175.88 / $353.76	Professional		$99.64	$175.88	$353.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $187.82 / $276.01	Professional		$104.37	$187.82	$276.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $289.80 / $454.10	Professional		$5.00	$289.80	$454.10
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $198.46 / $353.49	Professional		$140.22	$198.46	$353.49