Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.37 / $3,391.00 / $6,915.00	Facility		$493.37	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $552.19 / $1,539.60	Professional		$147.60	$552.19	$1,539.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $985.58 / $3,120.00 / $6,315.83	Facility		$985.58	$3,120.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $226.59 / $495.95	Professional		$126.89	$226.59	$495.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $213.65 / $74,999.25	Facility		$178.62	$213.65	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $778.00 / $778.00	Facility		$778.00	$778.00	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $1,072.82 / $2,588.62	Professional		$186.58	$1,072.82	$2,588.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $1,170.83 / $4,241.00	Professional		$116.63	$1,170.83	$4,241.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $1,248.03 / $1,899.55	Professional		$135.66	$1,248.03	$1,899.55
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 $1,171.07 / $1,634.08 / $2,649.15	Professional		$1,171.07	$1,634.08	$2,649.15