Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $3,391.00 / $6,915.00	Facility		$184.07	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $174.81 / $381.52	Professional		$122.81	$174.81	$381.52
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 $133.97 / $206.95 / $350.72	Professional		$133.97	$206.95	$350.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.93 / $224.93 / $224.93	Facility		$224.93	$224.93	$224.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $224.88 / $2,500.00	Facility		$125.50	$224.88	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $245.99 / $442.64	Professional		$162.85	$245.99	$442.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $233.04 / $1,082.00	Professional		$157.44	$233.04	$1,082.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $308.33 / $332.90	Professional		$214.62	$308.33	$332.90
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 $156.15 / $254.92 / $464.28	Professional		$156.15	$254.92	$464.28