Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $522.00 / $675.00	Facility		$30.00	$522.00	$675.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $873.00	Professional		$30.00	$45.00	$873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $387.00 / $867.87	Professional		$275.39	$387.00	$867.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $274.19 / $704.97	Facility		$182.79	$274.19	$704.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $608.00 / $882.32	Professional		$384.00	$608.00	$882.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $730.26 / $1,134.00	Professional		$387.00	$730.26	$1,134.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $30.14 / $97.34	Professional		$12.00	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.00 / $89.76	Professional		$52.00	$72.00	$89.76