Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $5,045.00 / $6,915.00	Facility		$168.13	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $188.42 / $349.19	Professional		$154.49	$188.42	$349.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $265.29 / $446.62	Professional		$167.90	$265.29	$446.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.18 / $261.18 / $261.18	Facility		$261.18	$261.18	$261.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $159.13 / $159.13	Professional		$159.13	$159.13	$159.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $589.00 / $1,233.00	Facility		$192.58	$589.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $269.08 / $425.82	Professional		$174.86	$269.08	$425.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $217.36 / $391.42	Professional		$167.20	$217.36	$391.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $332.50 / $419.00	Professional		$289.20	$332.50	$419.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $232.93 / $390.38	Professional		$163.96	$232.93	$390.38