Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.93 / $3,391.00 / $6,915.00	Facility		$295.93	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $232.18 / $371.60	Professional		$182.95	$232.18	$371.60
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 $179.82 / $258.20 / $464.63	Professional		$179.82	$258.20	$464.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $382.79 / $74,999.25	Facility		$325.37	$382.79	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,732.09 / $2,181.15	Facility		$411.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $287.08 / $491.22	Professional		$190.40	$287.08	$491.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $298.11 / $1,474.40	Professional		$204.95	$298.11	$1,474.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $273.52 / $290.66	Professional		$239.81	$273.52	$290.66
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 $180.95 / $251.33 / $427.60	Professional		$180.95	$251.33	$427.60