Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $2,987.00 / $6,915.00	Facility		$84.36	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $121.35 / $266.73	Professional		$49.97	$121.35	$266.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $839.17 / $1,789.93	Facility		$552.38	$839.17	$1,789.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $131.60 / $349.22	Professional		$58.86	$131.60	$349.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.46 / $101.73 / $122.49	Facility		$86.46	$101.73	$122.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $122.90 / $315.88	Professional		$56.39	$122.90	$315.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $145.24 / $834.20	Professional		$59.32	$145.24	$834.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $238.80 / $636.50	Professional		$5.00	$238.80	$636.50
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $192.56 / $373.85	Professional		$113.83	$192.56	$373.85