Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $2,572.00 / $6,915.00	Facility		$195.16	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $214.41 / $341.83	Professional		$103.49	$214.41	$341.83
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 $120.18 / $234.44 / $470.94	Professional		$120.18	$234.44	$470.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.60 / $264.60 / $264.60	Facility		$264.60	$264.60	$264.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $99.27 / $99.27	Professional		$99.27	$99.27	$99.27
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 $123.06 / $230.91 / $466.79	Professional		$123.06	$230.91	$466.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $253.05 / $377.41	Professional		$121.38	$253.05	$377.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $275.50 / $507.50	Professional		$116.79	$275.50	$507.50
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 $187.96 / $274.91 / $492.33	Professional		$187.96	$274.91	$492.33