Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.40 / $1,399.96 / $2,409.19	Facility		$505.40	$1,399.96	$2,409.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $646.00 / $729.60	Professional		$505.40	$646.00	$729.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $760.00 / $2,315.42	Facility		$420.00	$760.00	$2,315.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $200.00 / $684.00	Professional		$160.00	$200.00	$684.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,102.00 / $1,633.47	Facility		$760.00	$1,102.00	$1,633.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.41 / $1,672.00 / $2,343.73	Facility		$1,135.41	$1,672.00	$2,343.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $4,277.55 / $4,277.55	Professional		$608.00	$4,277.55	$4,277.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $988.00 / $5,923.49	Professional		$760.00	$988.00	$5,923.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,018.40 / $1,406.00	Professional		$760.00	$1,018.40	$1,406.00
United Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $684.00 / $684.00	Facility		$684.00	$684.00	$684.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,330.38	Professional		$319.20	$456.00	$1,330.38