Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.66 / $2,595.00 / $6,915.00	Facility		$143.66	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $215.75 / $398.10	Professional		$78.36	$215.75	$398.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $228.55 / $549.79	Professional		$98.42	$228.55	$549.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.58 / $317.58 / $317.58	Facility		$317.58	$317.58	$317.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $74.06 / $74.06	Professional		$74.06	$74.06	$74.06
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 $92.75 / $222.33 / $525.37	Professional		$92.75	$222.33	$525.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $260.70 / $391.07	Professional		$91.01	$260.70	$391.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $299.82 / $488.50	Professional		$112.11	$299.82	$488.50
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 $222.75 / $315.60 / $548.90	Professional		$222.75	$315.60	$548.90