Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.65 / $2,800.00 / $6,915.00	Facility		$253.65	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $249.36 / $445.31	Professional		$150.37	$249.36	$445.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $232.39 / $452.07	Professional		$152.72	$232.39	$452.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.58 / $469.58 / $469.58	Facility		$469.58	$469.58	$469.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $657.54	Facility		$265.33	$265.33	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $311.57 / $557.34	Professional		$175.52	$311.57	$557.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $290.49 / $669.71	Professional		$190.15	$290.49	$669.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $265.89 / $453.94	Professional		$159.91	$265.89	$453.94
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $363.09 / $612.16	Professional		$209.52	$363.09	$612.16