Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.86 / $5,063.00 / $6,915.00	Facility		$113.86	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $128.16 / $238.45	Professional		$106.38	$128.16	$238.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $197.43 / $317.16	Professional		$118.74	$197.43	$317.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $165.97 / $165.97	Facility		$165.97	$165.97	$165.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $106.39 / $106.39	Professional		$106.39	$106.39	$106.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $625.00 / $835.00	Facility		$506.00	$625.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $195.47 / $320.12	Professional		$132.72	$195.47	$320.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $144.53 / $684.00	Professional		$111.18	$144.53	$684.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $231.30 / $279.70	Professional		$201.20	$231.30	$279.70
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $177.12 / $304.08	Professional		$113.00	$177.12	$304.08