Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $2,987.00 / $6,915.00	Facility		$69.27	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $70.81 / $158.21	Professional		$52.06	$70.81	$158.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $76.37 / $154.24	Professional		$50.50	$76.37	$154.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $102.96 / $123.89	Facility		$87.53	$102.96	$123.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $88.76 / $171.47	Professional		$55.63	$88.76	$171.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $884.08	Professional		$60.00	$75.00	$884.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $128.80 / $574.70	Professional		$5.00	$128.80	$574.70
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $85.75 / $159.78	Professional		$61.67	$85.75	$159.78