Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $5,045.00 / $6,915.00	Facility		$111.22	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $124.64 / $327.64	Professional		$102.43	$124.64	$327.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $180.95 / $307.44	Professional		$111.47	$180.95	$307.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.91 / $174.91 / $174.91	Facility		$174.91	$174.91	$174.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Professional		$105.40	$105.40	$105.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $617.00 / $835.00	Facility		$506.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $180.00 / $295.72	Professional		$117.26	$180.00	$295.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $143.99 / $755.13	Professional		$110.76	$143.99	$755.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $194.50 / $277.50	Professional		$143.10	$194.50	$277.50
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 $109.60 / $155.32 / $267.39	Professional		$109.60	$155.32	$267.39