Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $3,391.00 / $6,915.00	Facility		$168.02	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $176.32 / $354.97	Professional		$80.92	$176.32	$354.97
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 $107.50 / $200.93 / $391.95	Professional		$107.50	$200.93	$391.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.28 / $223.28 / $223.28	Facility		$223.28	$223.28	$223.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $512.00 / $703.00	Facility		$142.54	$512.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $213.79 / $420.58	Professional		$101.72	$213.79	$420.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $201.93 / $643.54	Professional		$92.15	$201.93	$643.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $293.01 / $519.20	Professional		$5.00	$293.01	$519.20
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 $181.55 / $262.54 / $452.59	Professional		$181.55	$262.54	$452.59