Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.18 / $2,800.00 / $6,915.00	Facility		$333.18	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.19 / $357.82 / $957.09	Professional		$253.19	$357.82	$957.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,724.84 / $6,271.28	Facility		$606.69	$2,724.84	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.98 / $414.15 / $795.96	Professional		$247.98	$414.15	$795.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.44 / $516.78 / $74,999.25	Facility		$426.44	$516.78	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $5,008.00 / $9,852.00	Facility		$176.16	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $598.41 / $976.78	Professional		$285.08	$598.41	$976.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $398.09 / $1,976.08	Professional		$282.13	$398.09	$1,976.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.15 / $421.63 / $784.37	Professional		$330.15	$421.63	$784.37
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.95 / $483.79 / $830.71	Professional		$294.95	$483.79	$830.71