Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.94 / $3,391.00 / $6,915.00	Facility		$199.94	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $199.94 / $315.68	Professional		$96.40	$199.94	$315.68
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 $128.01 / $228.39 / $435.19	Professional		$128.01	$228.39	$435.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.75 / $249.75 / $249.75	Facility		$249.75	$249.75	$249.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $90.45 / $90.45	Professional		$90.45	$90.45	$90.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $512.00 / $703.00	Facility		$158.52	$512.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $242.27 / $465.45	Professional		$121.15	$242.27	$465.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $228.39 / $767.46	Professional		$110.09	$228.39	$767.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $274.00 / $411.38	Professional		$5.00	$274.00	$411.38
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 $201.87 / $298.41 / $494.08	Professional		$201.87	$298.41	$494.08