Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.61 / $5,063.00 / $7,421.00	Facility		$237.61	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $259.45 / $512.00	Professional		$212.47	$259.45	$512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.10 / $455.40 / $593.25	Professional		$249.10	$455.40	$593.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $227.46 / $227.46	Professional		$227.46	$227.46	$227.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $395.50 / $615.47	Professional		$224.01	$395.50	$615.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.93 / $370.41 / $4,301.00	Professional		$284.93	$370.41	$4,301.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $240.90 / $240.90	Professional		$220.00	$240.90	$240.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $332.29 / $740.25	Professional		$222.03	$332.29	$740.25