Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.25 / $5,045.00 / $6,915.00	Facility		$697.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $596.42 / $887.16	Professional		$470.41	$596.42	$887.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,795.56 / $6,271.28	Facility		$875.94	$2,795.56	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.51 / $635.51 / $1,185.01	Professional		$443.51	$635.51	$1,185.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $816.24 / $990.89 / $74,999.25	Facility		$816.24	$990.89	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,732.09 / $2,181.15	Facility		$630.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.99 / $680.19 / $1,252.70	Professional		$449.99	$680.19	$1,252.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.45 / $752.66 / $3,820.48	Professional		$517.45	$752.66	$3,820.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $611.62 / $697.63 / $733.84	Professional		$611.62	$697.63	$733.84
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.49 / $601.42 / $1,082.65	Professional		$455.49	$601.42	$1,082.65