Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.32 / $2,987.00 / $6,915.00	Facility		$221.32	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $288.74 / $426.15	Professional		$130.02	$288.74	$426.15
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 $128.41 / $183.92 / $358.79	Professional		$128.41	$183.92	$358.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $268.67 / $74,999.25	Facility		$221.19	$268.67	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.95 / $277.43 / $411.00	Facility		$221.95	$277.43	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $303.74 / $672.40	Professional		$142.50	$303.74	$672.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $357.95 / $1,016.17	Professional		$146.66	$357.95	$1,016.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $406.88 / $556.46	Professional		$184.01	$406.88	$556.46
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 $269.14 / $354.39 / $646.79	Professional		$269.14	$354.39	$646.79