Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.75 / $5,045.00 / $6,915.00	Facility		$656.75	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.86 / $562.04 / $810.52	Professional		$443.86	$562.04	$810.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.20 / $603.84 / $1,125.09	Professional		$433.20	$603.84	$1,125.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.02 / $942.93 / $74,999.25	Facility		$774.02	$942.93	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,325.29 / $1,668.88	Facility		$630.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.93 / $653.40 / $1,184.14	Professional		$424.93	$653.40	$1,184.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.40 / $716.22 / $3,613.06	Professional		$492.40	$716.22	$3,613.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $554.47 / $626.70 / $712.35	Professional		$554.47	$626.70	$712.35
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 $428.11 / $568.63 / $1,061.13	Professional		$428.11	$568.63	$1,061.13