Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $3,630.78 / $7,413.10	Facility		$83.18	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $134.90	Professional		$56.23	$77.62	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $169.82	Professional		$69.18	$112.20	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $416.87 / $549.54	Facility		$50.12	$416.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $190.55	Professional		$60.26	$95.50	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $158.49	Professional		$63.10	$91.20	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $177.83 / $199.53	Professional		$5.01	$177.83	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36