Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.78 / $2,987.00 / $6,915.00	Facility		$244.78	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $271.47 / $379.78	Professional		$165.20	$271.47	$379.78
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 $161.88 / $224.89 / $422.04	Professional		$161.88	$224.89	$422.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.57 / $336.77 / $74,999.25	Facility		$276.57	$336.77	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $202.25 / $411.00	Facility		$161.80	$202.25	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $295.51 / $572.32	Professional		$175.19	$295.51	$572.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.85 / $321.87 / $1,283.34	Professional		$183.85	$321.87	$1,283.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $327.55 / $612.29	Professional		$232.81	$327.55	$612.29
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 $229.52 / $299.64 / $598.55	Professional		$229.52	$299.64	$598.55