Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $2,595.00 / $6,915.00	Facility		$148.13	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $184.81 / $326.68	Professional		$82.28	$184.81	$326.68
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 $90.55 / $195.25 / $422.25	Professional		$90.55	$195.25	$422.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $186.07 / $186.07	Facility		$186.07	$186.07	$186.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $78.88 / $78.88	Professional		$78.88	$78.88	$78.88
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 $96.61 / $194.84 / $429.32	Professional		$96.61	$194.84	$429.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $196.95 / $332.39	Professional		$96.75	$196.95	$332.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $226.18 / $472.30	Professional		$92.81	$226.18	$472.30
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,592.00 / $5,272.00	Facility		$550.00	$2,592.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $235.31 / $425.69	Professional		$157.32	$235.31	$425.69