Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.51 / $2,987.00 / $6,915.00	Facility		$159.51	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $159.51 / $335.39	Professional		$111.78	$159.51	$335.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $212.33 / $354.40	Professional		$131.69	$212.33	$354.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.50 / $215.50 / $215.50	Facility		$215.50	$215.50	$215.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $106.89 / $106.89	Professional		$106.89	$106.89	$106.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.49 / $512.00 / $703.00	Facility		$113.49	$512.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $202.92 / $353.15	Professional		$122.75	$202.92	$353.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $177.34 / $272.70	Professional		$133.94	$177.34	$272.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $308.80 / $421.00	Professional		$5.00	$308.80	$421.00
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,027.00 / $3,344.00	Facility		$410.00	$2,027.00	$3,344.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $205.42 / $339.12	Professional		$146.15	$205.42	$339.12