Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.86 / $2,987.00 / $6,915.00	Facility		$472.86	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $429.83 / $712.91	Professional		$295.18	$429.83	$712.91
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 $316.39 / $443.51 / $827.00	Professional		$316.39	$443.51	$827.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.55 / $697.40 / $74,999.25	Facility		$571.55	$697.40	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $345.27 / $778.00	Facility		$276.20	$345.27	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $486.38 / $959.00	Professional		$327.20	$486.38	$959.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.73 / $544.89 / $2,642.59	Professional		$380.73	$544.89	$2,642.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.59 / $620.20 / $1,187.68	Professional		$485.59	$620.20	$1,187.68
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 $367.67 / $506.46 / $1,002.95	Professional		$367.67	$506.46	$1,002.95