Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.30 / $2,987.00 / $6,915.00	Facility		$143.30	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $153.50 / $297.11	Professional		$91.26	$153.50	$297.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $133.34 / $272.58	Professional		$93.36	$133.34	$272.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.85 / $195.72 / $74,999.25	Facility		$161.85	$195.72	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $541.29 / $681.64	Facility		$411.00	$541.29	$681.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $192.05 / $402.98	Professional		$104.28	$192.05	$402.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $222.50 / $745.97	Professional		$106.86	$222.50	$745.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $252.91 / $346.44	Professional		$133.04	$252.91	$346.44
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 $170.88 / $218.54 / $385.69	Professional		$170.88	$218.54	$385.69