Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.99 / $3,391.00 / $6,915.00	Facility		$551.99	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $521.84 / $754.49	Professional		$346.55	$521.84	$754.49
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 $397.37 / $589.32 / $1,117.28	Professional		$397.37	$589.32	$1,117.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $756.68 / $938.24 / $74,999.25	Facility		$756.68	$938.24	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.30 / $562.58 / $1,124.73	Professional		$385.30	$562.58	$1,124.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $712.66 / $3,615.62	Professional		$489.95	$712.66	$3,615.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $654.19 / $890.82	Professional		$400.87	$654.19	$890.82
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $1,550.00 / $2,665.00	Facility		$123.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.43 / $527.48 / $991.75	Professional		$382.43	$527.48	$991.75