Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.91 / $3,430.00 / $6,915.00	Facility		$108.91	$3,430.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $58.29 / $84.58	Professional		$50.73	$58.29	$84.58
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 $58.45 / $85.35 / $146.29	Professional		$58.45	$85.35	$146.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $1,006.69	Facility		$338.00	$535.00	$1,006.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $86.48 / $153.62	Professional		$56.87	$86.48	$153.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $82.85 / $135.09	Professional		$59.18	$82.85	$135.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $109.50	Professional		$5.00	$5.00	$109.50
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $73.75 / $124.82	Professional		$51.94	$73.75	$124.82