Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.09 / $2,987.00 / $6,915.00	Facility		$172.09	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $154.97 / $284.11	Professional		$95.67	$154.97	$284.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $150.18 / $291.66	Professional		$98.53	$150.18	$291.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.88 / $288.88 / $288.88	Facility		$288.88	$288.88	$288.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $640.00	Facility		$168.21	$168.21	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $209.27 / $384.66	Professional		$122.38	$209.27	$384.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $188.14 / $1,322.23	Professional		$116.03	$188.14	$1,322.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $172.13 / $305.12	Professional		$101.52	$172.13	$305.12
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 $141.91 / $240.70 / $379.38	Professional		$141.91	$240.70	$379.38