Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.74 / $3,391.00 / $6,915.00	Facility		$207.74	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $130.30 / $340.14	Professional		$108.19	$130.30	$340.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,547.83 / $7,513.42	Facility		$450.00	$2,547.83	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $177.10 / $305.48	Professional		$116.51	$177.10	$305.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $147.40 / $147.40	Facility		$147.40	$147.40	$147.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $109.97 / $109.97	Professional		$109.97	$109.97	$109.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $551.00 / $5,359.73	Facility		$384.00	$551.00	$5,359.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $189.80 / $344.88	Professional		$120.24	$189.80	$344.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $151.83 / $461.77	Professional		$116.79	$151.83	$461.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $186.15 / $278.70	Professional		$106.88	$186.15	$278.70
United Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $5,000.00 / $8,448.00	Facility		$685.00	$5,000.00	$8,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $153.65 / $271.23	Professional		$109.91	$153.65	$271.23