Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.53 / $5,063.00 / $7,421.00	Facility		$757.53	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $778.91 / $991.60	Professional		$621.76	$778.91	$991.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.28 / $1,403.10 / $1,546.90	Professional		$798.28	$1,403.10	$1,546.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.74 / $693.74 / $693.74	Professional		$693.74	$693.74	$693.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $902.24	Facility		$200.00	$617.00	$902.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $1,177.55 / $1,831.04	Professional		$621.55	$1,177.55	$1,831.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.58 / $1,231.84 / $9,097.56	Professional		$947.58	$1,231.84	$9,097.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.72 / $1,099.93 / $2,122.96	Professional		$627.72	$1,099.93	$2,122.96