Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.24 / $3,295.00 / $6,915.00	Facility		$512.24	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.72 / $496.96 / $786.22	Professional		$389.72	$496.96	$786.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.57 / $516.44 / $948.71	Professional		$379.57	$516.44	$948.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $795.33 / $74,999.25	Facility		$654.41	$795.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,325.29 / $1,668.88	Facility		$551.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.71 / $561.59 / $1,058.49	Professional		$374.71	$561.59	$1,058.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $610.33 / $3,043.70	Professional		$434.22	$610.33	$3,043.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $678.70 / $1,359.80	Professional		$546.05	$678.70	$1,359.80
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.82 / $549.23 / $1,037.55	Professional		$416.82	$549.23	$1,037.55