Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.41 / $2,800.00 / $6,915.00	Facility		$194.41	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $218.41 / $423.48	Professional		$112.29	$218.41	$423.48
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 $113.93 / $155.40 / $302.50	Professional		$113.93	$155.40	$302.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $170.90 / $233.10 / $453.75	Professional	50	$170.90	$233.10	$453.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.21 / $233.91 / $74,999.25	Facility		$191.21	$233.91	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $174.74 / $220.05	Facility		$161.80	$174.74	$220.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $265.62 / $591.11	Professional		$121.27	$265.62	$591.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $315.57 / $911.80	Professional		$127.71	$315.57	$911.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $358.71 / $473.60	Professional		$161.25	$358.71	$473.60
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $310.72 / $553.15	Professional		$236.47	$310.72	$553.15