Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $3,430.00 / $6,915.00	Facility		$204.59	$3,430.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $129.79 / $187.22	Professional		$112.80	$129.79	$187.22
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 $120.73 / $180.54 / $325.10	Professional		$120.73	$180.54	$325.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $112.11 / $112.11	Professional		$112.11	$112.11	$112.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,006.69	Facility		$506.00	$700.00	$1,006.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $191.77 / $328.34	Professional		$124.02	$191.77	$328.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $171.07 / $282.64	Professional		$131.59	$171.07	$282.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $222.30	Professional		$5.00	$5.00	$222.30
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 $114.00 / $162.82 / $275.57	Professional		$114.00	$162.82	$275.57