Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.29 / $3,104.50 / $6,726.00	Facility		$145.29	$3,104.50	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $143.13 / $264.79	Professional		$70.73	$143.13	$264.79
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 $69.41 / $108.65 / $198.28	Professional		$69.41	$108.65	$198.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.35 / $82.24 / $124.12	Facility		$63.35	$82.24	$124.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $146.84 / $158.13	Professional		$114.43	$146.84	$158.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $2,500.00	Facility		$104.48	$104.48	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $169.81 / $331.65	Professional		$93.17	$169.81	$331.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $148.56 / $872.00	Professional		$70.48	$148.56	$872.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $122.59 / $235.42	Professional		$79.51	$122.59	$235.42
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 $119.33 / $216.54 / $335.38	Professional		$119.33	$216.54	$335.38