Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $2,987.00 / $6,915.00	Facility		$77.51	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $77.51 / $159.31	Professional		$57.00	$77.51	$159.31
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 $65.81 / $104.76 / $180.71	Professional		$65.81	$104.76	$180.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Professional		$54.30	$54.30	$54.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $384.00 / $546.00	Facility		$49.79	$384.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $104.21 / $186.11	Professional		$63.09	$104.21	$186.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $87.77 / $138.97	Professional		$67.79	$87.77	$138.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $161.50 / $197.10	Professional		$5.00	$161.50	$197.10
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 $73.40 / $107.58 / $173.87	Professional		$73.40	$107.58	$173.87