Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.67 / $5,045.00 / $6,915.00	Facility		$210.67	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $234.28 / $616.91	Professional		$176.77	$234.28	$616.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $3,107.04 / $6,147.04	Facility		$1,063.95	$3,107.04	$6,147.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $312.87 / $565.00	Professional		$204.25	$312.87	$565.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.50 / $326.50 / $326.50	Facility		$326.50	$326.50	$326.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $2,500.00	Facility		$235.62	$235.62	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.44 / $326.52 / $597.61	Professional		$217.44	$326.52	$597.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.42 / $333.42 / $1,103.39	Professional		$238.42	$333.42	$1,103.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $378.09 / $383.54	Professional		$378.09	$378.09	$383.54
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $284.00 / $540.40	Professional		$184.37	$284.00	$540.40