Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $2,595.00 / $6,915.00	Facility		$148.13	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $242.13 / $422.84	Professional		$82.28	$242.13	$422.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,635.81 / $3,784.98	Facility		$450.00	$1,635.81	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $236.78 / $584.35	Professional		$107.40	$236.78	$584.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.38 / $342.38 / $342.38	Facility		$342.38	$342.38	$342.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $78.88 / $78.88	Professional		$78.88	$78.88	$78.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $2,880.00	Facility		$338.00	$546.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $212.63 / $554.88	Professional		$97.35	$212.63	$554.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $275.69 / $413.54	Professional		$96.75	$275.69	$413.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $317.04 / $510.03	Professional		$120.84	$317.04	$510.03
United Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,831.00 / $5,272.00	Facility		$535.00	$1,831.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $328.60 / $577.53	Professional		$235.18	$328.60	$577.53