Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.37 / $2,800.00 / $6,915.00	Facility		$148.37	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $151.76 / $313.05	Professional		$107.08	$151.76	$313.05
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 $123.62 / $202.81 / $335.36	Professional		$123.62	$202.81	$335.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.49 / $206.49 / $206.49	Facility		$206.49	$206.49	$206.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $99.78 / $99.78	Professional		$99.78	$99.78	$99.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $338.00 / $546.00	Facility		$104.34	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $191.53 / $327.20	Professional		$119.34	$191.53	$327.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $163.28 / $259.64	Professional		$125.18	$163.28	$259.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $289.50 / $391.50	Professional		$5.00	$289.50	$391.50
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 $137.07 / $193.59 / $323.12	Professional		$137.07	$193.59	$323.12