Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $3,295.00 / $6,915.00	Facility		$592.83	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $491.70 / $912.54	Professional		$258.61	$491.70	$912.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.23 / $2,080.80 / $3,851.83	Facility		$707.23	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $508.55 / $809.22	Professional		$211.67	$508.55	$809.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.50 / $438.42 / $74,999.25	Facility		$358.50	$438.42	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $5,008.00 / $9,852.00	Facility		$174.74	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $631.14 / $1,022.58	Professional		$323.58	$631.14	$1,022.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $362.28 / $3,777.80	Professional		$239.35	$362.28	$3,777.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $364.23 / $534.25	Professional		$272.66	$364.23	$534.25
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.54 / $618.04 / $946.72	Professional		$455.54	$618.04	$946.72