Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $2,572.00 / $6,915.00	Facility		$171.21	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $195.16 / $317.39	Professional		$87.71	$195.16	$317.39
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 $113.82 / $221.54 / $443.74	Professional		$113.82	$221.54	$443.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.37 / $305.37 / $305.37	Facility		$305.37	$305.37	$305.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.87 / $83.87	Professional		$83.87	$83.87	$83.87
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 $110.35 / $213.69 / $432.15	Professional		$110.35	$213.69	$432.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $225.24 / $345.34	Professional		$102.79	$225.24	$345.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $233.70 / $483.20	Professional		$98.67	$233.70	$483.20
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $270.14 / $483.09	Professional		$180.20	$270.14	$483.09