Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $2,987.00 / $6,915.00	Facility		$161.19	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $161.19 / $334.91	Professional		$106.51	$161.19	$334.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $177.05 / $304.20	Professional		$116.21	$177.05	$304.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $194.22 / $194.22	Facility		$194.22	$194.22	$194.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $197.98 / $2,500.00	Facility		$115.26	$197.98	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $211.84 / $379.84	Professional		$138.32	$211.84	$379.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $207.99 / $831.00	Professional		$138.97	$207.99	$831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $277.29 / $295.99	Professional		$189.14	$277.29	$295.99
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 $135.29 / $221.84 / $372.04	Professional		$135.29	$221.84	$372.04