Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $2,221.00 / $6,915.00	Facility		$140.72	$2,221.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $155.03 / $279.43	Professional		$84.76	$155.03	$279.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $202.37 / $385.69	Professional		$105.23	$202.37	$385.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Facility		$166.00	$166.00	$166.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Professional		$80.45	$80.45	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $799.55	Facility		$334.00	$535.00	$799.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $177.50 / $484.67	Professional		$103.53	$177.50	$484.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $179.95 / $366.48	Professional		$98.50	$179.95	$366.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $256.27 / $443.43	Professional		$86.43	$256.27	$443.43
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 $119.06 / $175.70 / $376.68	Professional		$119.06	$175.70	$376.68