Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.27 / $2,987.00 / $6,915.00	Facility		$436.27	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $458.20 / $725.47	Professional		$366.87	$458.20	$725.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.30 / $492.19 / $895.80	Professional		$338.30	$492.19	$895.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.91 / $753.77 / $74,999.25	Facility		$619.91	$753.77	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $260.68 / $778.00	Facility		$208.55	$260.68	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $491.71 / $924.39	Professional		$340.00	$491.71	$924.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.50 / $546.00 / $2,871.36	Professional		$411.50	$546.00	$2,871.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.42 / $598.96 / $1,288.14	Professional		$492.42	$598.96	$1,288.14
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 $363.90 / $513.59 / $888.39	Professional		$363.90	$513.59	$888.39