Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.93 / $3,295.00 / $6,915.00	Facility		$230.93	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $262.75 / $391.15	Professional		$136.69	$262.75	$391.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $187.53 / $373.39	Professional		$134.29	$187.53	$373.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $201.43 / $281.29 / $560.08	Professional	50	$201.43	$281.29	$560.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.73 / $280.89 / $74,999.25	Facility		$230.73	$280.89	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.20 / $551.00 / $681.64	Facility		$501.20	$551.00	$681.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $295.35 / $633.83	Professional		$145.26	$295.35	$633.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $326.82 / $1,067.47	Professional		$153.35	$326.82	$1,067.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $250.38 / $504.98	Professional		$171.90	$250.38	$504.98
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $337.65 / $575.67	Professional		$260.83	$337.65	$575.67