Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $580.00 / $750.00	Facility		$30.00	$580.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $970.00	Professional		$30.00	$45.00	$970.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $430.00 / $964.30	Professional		$306.00	$430.00	$964.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $304.64 / $783.30	Facility		$203.10	$304.64	$783.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $684.00 / $992.61	Professional		$432.00	$684.00	$992.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $811.40 / $1,260.00	Professional		$430.00	$811.40	$1,260.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $30.14 / $97.34	Professional		$13.50	$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