Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $2,572.00 / $6,915.00	Facility		$137.68	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $163.13 / $302.19	Professional		$71.68	$163.13	$302.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,954.16 / $4,819.75	Facility		$450.00	$1,954.16	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $178.56 / $376.76	Professional		$83.88	$178.56	$376.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $224.51 / $224.51	Facility		$224.51	$224.51	$224.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $551.00 / $2,880.00	Facility		$338.00	$551.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $172.23 / $386.65	Professional		$85.54	$172.23	$386.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $190.14 / $292.12	Professional		$82.70	$190.14	$292.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $198.78 / $440.50	Professional		$79.06	$198.78	$440.50
United Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,831.00 / $5,272.00	Facility		$513.00	$1,831.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $217.30 / $374.12	Professional		$146.15	$217.30	$374.12