Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,801.89 / $7,413.10	Facility		$229.09	$3,801.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $288.40	Professional		$66.07	$131.83	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $186.21	Professional		$89.13	$123.03	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $120.23	Facility		$70.79	$85.11	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $169.82	Professional		$112.20	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $2,511.89	Facility		$104.71	$104.71	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $323.59	Professional		$89.13	$162.18	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $173.78 / $741.31	Professional		$66.07	$173.78	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $204.17	Professional		$87.10	$181.97	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $275.42	Professional		$72.44	$138.04	$275.42