Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,508.00 / $1,950.00	Facility		$30.00	$1,508.00	$1,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.00 / $2,522.00	Professional		$30.00	$42.00	$2,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $1,118.00 / $2,507.17	Professional		$795.60	$1,118.00	$2,507.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $792.09 / $2,036.58	Facility		$528.05	$792.09	$2,036.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,900.00 / $2,757.25	Professional		$1,200.00	$1,900.00	$2,757.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $2,109.64 / $3,276.00	Professional		$1,118.00	$2,109.64	$3,276.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $32.14 / $97.34	Professional		$20.43	$32.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $74.00 / $90.00	Professional		$52.00	$74.00	$90.00