Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.52 / $5,045.00 / $6,915.00	Facility		$291.52	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $222.77 / $408.22	Professional		$170.92	$222.77	$408.22
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 $191.59 / $289.60 / $534.92	Professional		$191.59	$289.60	$534.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.50 / $317.50 / $317.50	Facility		$317.50	$317.50	$317.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $2,500.00	Facility		$221.10	$221.10	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $309.19 / $541.65	Professional		$201.96	$309.19	$541.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $306.54 / $554.07	Professional		$220.33	$306.54	$554.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $341.92 / $790.08	Professional		$286.69	$341.92	$790.08
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 $175.16 / $267.89 / $481.41	Professional		$175.16	$267.89	$481.41