Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $2,987.00 / $6,915.00	Facility		$119.34	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $118.82 / $237.64	Professional		$84.61	$118.82	$237.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $151.35 / $264.07	Professional		$93.00	$151.35	$264.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $150.10 / $150.10	Facility		$150.10	$150.10	$150.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $72.13 / $72.13	Professional		$72.13	$72.13	$72.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $86.13 / $631.54	Facility		$62.24	$86.13	$631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $149.31 / $279.14	Professional		$92.16	$149.31	$279.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $116.65 / $184.70	Professional		$89.54	$116.65	$184.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $232.90 / $305.50	Professional		$5.00	$232.90	$305.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $157.47 / $257.19	Professional		$108.82	$157.47	$257.19