Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $7,413.10	Facility		$1,202.26	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $229.09	Professional		$100.00	$123.03	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,584.89 / $3,467.37	Facility		$549.54	$1,584.89	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $338.84	Professional		$112.20	$194.98	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $776.25	Facility		$338.84	$549.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $245.47	Professional		$109.65	$162.18	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $295.12	Professional		$93.33	$120.23	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $218.78 / $263.03	Professional		$5.01	$218.78	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $234.42	Professional		$100.00	$138.04	$234.42