Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.25 / $1,204.59 / $1,204.59	Facility		$538.25	$1,204.59	$1,204.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $330.60 / $874.00	Professional		$266.00	$330.60	$874.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $485.48 / $1,394.60	Facility		$286.52	$485.48	$1,394.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.80 / $1,246.40 / $1,246.40	Professional		$725.80	$1,246.40	$1,246.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $551.00 / $816.74	Facility		$380.00	$551.00	$816.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $836.00 / $1,171.34	Facility		$494.00	$836.00	$1,171.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $2,138.80 / $2,138.80	Professional		$304.00	$2,138.80	$2,138.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $494.00 / $2,961.79	Professional		$342.00	$494.00	$2,961.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $509.20 / $703.00	Professional		$440.80	$509.20	$703.00
United Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $342.00 / $380.00	Facility		$342.00	$342.00	$380.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $665.19	Professional		$159.60	$228.00	$665.19