Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.93 / $5,045.00 / $6,915.00	Facility		$192.93	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $214.25 / $557.07	Professional		$168.00	$214.25	$557.07
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 $191.88 / $295.83 / $561.62	Professional		$191.88	$295.83	$561.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $313.88 / $313.88	Facility		$313.88	$313.88	$313.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $2,500.00	Facility		$217.92	$217.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $315.02 / $571.07	Professional		$202.95	$315.02	$571.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $303.92 / $1,178.05	Professional		$217.74	$303.92	$1,178.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $347.30 / $350.27	Professional		$347.30	$347.30	$350.27
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 $169.64 / $264.64 / $496.40	Professional		$169.64	$264.64	$496.40