Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.55 / $5,045.00 / $6,915.00	Facility		$278.55	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $197.31 / $371.36	Professional		$151.08	$197.31	$371.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $1,612.78 / $2,987.00	Facility		$666.00	$1,612.78	$2,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $268.47 / $488.68	Professional		$169.28	$268.47	$488.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $288.83 / $288.83	Facility		$288.83	$288.83	$288.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $2,500.00	Facility		$195.23	$195.23	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.84 / $277.14 / $503.61	Professional		$186.84	$277.14	$503.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $270.85 / $489.55	Professional		$194.67	$270.85	$489.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.62 / $302.10 / $698.96	Professional		$253.62	$302.10	$698.96
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 $154.91 / $244.54 / $425.76	Professional		$154.91	$244.54	$425.76