Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $3,019.95 / $7,413.10	Facility		$154.88	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $316.23	Professional		$85.11	$147.91	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,949.84 / $4,677.35	Facility		$588.84	$1,949.84	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $346.74	Professional		$112.20	$181.97	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $794.33	Facility		$338.84	$537.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $446.68	Professional		$97.72	$165.96	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $501.19	Professional		$95.50	$213.80	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $288.40 / $707.95	Professional		$5.01	$288.40	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $269.15	Professional		$89.13	$144.54	$269.15