Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.00 / $4,126.00 / $6,915.00	Facility		$2,221.00	$4,126.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $951.62 / $5,063.00	Professional		$506.00	$951.62	$5,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,260.19 / $7,672.64	Facility		$450.00	$2,260.19	$7,672.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $1,135.00	Professional		$650.00	$650.00	$1,135.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,380.00 / $4,380.00 / $4,380.00	Professional		$4,380.00	$4,380.00	$4,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00