Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $928.00 / $1,200.00	Facility		$30.00	$928.00	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,552.00	Professional		$30.00	$45.00	$1,552.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $688.00 / $1,542.88	Professional		$489.60	$688.00	$1,542.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $487.44 / $1,253.28	Facility		$324.95	$487.44	$1,253.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,140.00 / $1,654.35	Professional		$720.00	$1,140.00	$1,654.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $1,298.24 / $2,016.00	Professional		$688.00	$1,298.24	$2,016.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $30.14 / $97.34	Professional		$20.09	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.68 / $88.62	Professional		$52.00	$72.68	$88.62