Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $3,391.00 / $6,915.00	Facility		$183.16	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $113.96 / $298.02	Professional		$95.52	$113.96	$298.02
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 $101.57 / $147.56 / $262.04	Professional		$101.57	$147.56	$262.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $109.53 / $109.53	Facility		$109.53	$109.53	$109.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Professional		$97.07	$97.07	$97.07
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 $104.04 / $169.75 / $301.80	Professional		$104.04	$169.75	$301.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $134.22 / $396.17	Professional		$103.25	$134.22	$396.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $167.26 / $234.20	Professional		$98.09	$167.26	$234.20
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 $92.34 / $133.50 / $241.25	Professional		$92.34	$133.50	$241.25