Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.41 / $3,826.00 / $6,915.00	Facility		$201.41	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $201.41 / $406.31	Professional		$127.62	$201.41	$406.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $190.49 / $358.25	Professional		$123.78	$190.49	$358.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.26 / $280.26 / $280.26	Facility		$280.26	$280.26	$280.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $860.00	Facility		$214.88	$214.88	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $238.50 / $441.32	Professional		$140.94	$238.50	$441.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $234.86 / $588.02	Professional		$153.96	$234.86	$588.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $215.50 / $346.95	Professional		$155.90	$215.50	$346.95
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $249.60 / $437.43	Professional		$163.63	$249.60	$437.43