Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $638.00 / $825.00	Facility		$30.00	$638.00	$825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,067.00	Professional		$30.00	$45.00	$1,067.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $473.00 / $1,060.73	Professional		$336.60	$473.00	$1,060.73
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 $480.00 / $760.00 / $1,102.90	Professional		$480.00	$760.00	$1,102.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $892.54 / $1,386.00	Professional		$473.00	$892.54	$1,386.00
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 / $74.00 / $90.00	Professional		$52.00	$74.00	$90.00