Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $1,571.00 / $6,915.00	Facility		$56.30	$1,571.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $60.66 / $100.27	Professional		$39.97	$60.66	$100.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $56.85 / $114.51	Professional		$40.61	$56.85	$114.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $82.74 / $74,999.25	Facility		$70.34	$82.74	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $73.59 / $153.19	Professional		$44.55	$73.59	$153.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.01 / $325.07	Professional		$45.71	$77.01	$325.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $76.31 / $121.01	Professional		$49.51	$76.31	$121.01
United Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $1,550.00 / $2,665.00	Facility		$105.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $72.14 / $131.86	Professional		$53.37	$72.14	$131.86