Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.45 / $3,295.00 / $6,915.00	Facility		$491.45	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.07 / $511.82 / $800.04	Professional		$354.07	$511.82	$800.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.87 / $458.11 / $854.25	Professional		$338.87	$458.11	$854.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.89 / $715.58 / $74,999.25	Facility		$588.89	$715.58	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.93 / $599.95 / $1,182.26	Professional		$359.93	$599.95	$1,182.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.67 / $629.69 / $2,755.58	Professional		$390.67	$629.69	$2,755.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.90 / $659.21 / $785.02	Professional		$440.90	$659.21	$785.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.96 / $636.62 / $1,209.59	Professional		$477.96	$636.62	$1,209.59