Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $2,987.00 / $6,915.00	Facility		$122.69	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $151.21 / $268.82	Professional		$63.06	$151.21	$268.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $177.24 / $346.20	Professional		$84.84	$177.24	$346.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $265.95 / $265.95	Facility		$265.95	$265.95	$265.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $59.36 / $59.36	Professional		$59.36	$59.36	$59.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $589.00 / $2,880.00	Facility		$138.75	$589.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $157.88 / $354.29	Professional		$79.80	$157.88	$354.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $168.30 / $325.36	Professional		$73.20	$168.30	$325.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $219.63 / $288.39	Professional		$89.94	$219.63	$288.39
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 $131.46 / $197.71 / $347.19	Professional		$131.46	$197.71	$347.19