Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $5,063.00 / $14,490.00	Facility		$1,362.00	$5,063.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $145.68 / $267.36	Professional		$120.43	$145.68	$267.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $218.87 / $356.01	Professional		$131.87	$218.87	$356.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Facility		$161.79	$161.79	$161.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $122.08	Professional		$122.08	$122.08	$122.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,658.10 / $9,852.00	Facility		$512.00	$1,658.10	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $211.35 / $343.39	Professional		$144.18	$211.35	$343.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $166.75 / $750.00	Professional		$128.27	$166.75	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.20 / $256.70 / $322.30	Professional		$223.20	$256.70	$322.30
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $194.05 / $312.19	Professional		$127.74	$194.05	$312.19