Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.95 / $4,592.00 / $6,915.00	Facility		$349.95	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $312.38 / $576.61	Professional		$238.19	$312.38	$576.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $339.52 / $624.37	Professional		$242.52	$339.52	$624.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.13 / $505.25 / $74,999.25	Facility		$418.13	$505.25	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $214.92 / $411.00	Facility		$171.93	$214.92	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $393.92 / $720.75	Professional		$254.55	$393.92	$720.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $414.36 / $1,930.14	Professional		$275.83	$414.36	$1,930.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.43 / $385.65 / $460.97	Professional		$310.43	$385.65	$460.97
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.19 / $382.92 / $677.97	Professional		$291.19	$382.92	$677.97