Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $3,391.00 / $6,915.00	Facility		$76.45	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $76.45 / $147.93	Professional		$50.07	$76.45	$147.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $80.68 / $145.59	Professional		$49.16	$80.68	$145.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $98.96 / $141.36	Facility		$61.31	$98.96	$141.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $2,500.00	Facility		$82.87	$82.87	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $107.35 / $186.13	Professional		$63.00	$107.35	$186.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $88.46 / $384.74	Professional		$55.87	$88.46	$384.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $83.40 / $126.71	Professional		$62.01	$83.40	$126.71
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $117.91 / $178.12	Professional		$65.19	$117.91	$178.12