Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $284.39 / $951.00	Facility		$113.00	$284.39	$951.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $261.00 / $335.16	Professional		$199.50	$261.00	$335.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $325.77 / $1,038.00	Facility		$94.61	$325.77	$1,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $120.00 / $560.16	Professional		$75.59	$120.00	$560.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $435.00 / $644.79	Facility		$300.00	$435.00	$644.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $471.90 / $832.26	Facility		$66.00	$471.90	$832.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $271.83 / $1,161.28	Professional		$44.01	$271.83	$1,161.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $412.00 / $2,338.94	Professional		$300.00	$412.00	$2,338.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $420.00 / $555.00	Professional		$363.00	$420.00	$555.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $126.00 / $525.15	Professional		$43.80	$126.00	$525.15