Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $2,572.00 / $6,915.00	Facility		$195.61	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $212.22 / $392.30	Professional		$102.48	$212.22	$392.30
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 $123.77 / $236.77 / $470.73	Professional		$123.77	$236.77	$470.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.06 / $283.06 / $283.06	Facility		$283.06	$283.06	$283.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $98.64 / $98.64	Professional		$98.64	$98.64	$98.64
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 $121.83 / $228.66 / $457.98	Professional		$121.83	$228.66	$457.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $247.48 / $507.03	Professional		$120.64	$247.48	$507.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $299.20 / $539.00	Professional		$116.05	$299.20	$539.00
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $277.95 / $479.38	Professional		$187.44	$277.95	$479.38