Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.96 / $4,368.00 / $6,915.00	Facility		$635.96	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $534.11 / $958.51	Professional		$422.40	$534.11	$958.51
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 $409.77 / $585.07 / $1,068.29	Professional		$409.77	$585.07	$1,068.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.39 / $900.71 / $74,999.25	Facility		$740.39	$900.71	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $614.22 / $1,138.57	Professional		$410.67	$614.22	$1,138.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.35 / $684.14 / $3,426.74	Professional		$470.35	$684.14	$3,426.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.53 / $639.25 / $855.18	Professional		$361.53	$639.25	$855.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $537.88 / $1,007.55	Professional		$412.70	$537.88	$1,007.55