Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.88 / $4,592.00 / $6,915.00	Facility		$536.88	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.76 / $477.12 / $785.23	Professional		$351.76	$477.12	$785.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.52 / $483.47 / $932.09	Professional		$356.52	$483.47	$932.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.28 / $750.99 / $74,999.25	Facility		$616.28	$750.99	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.26 / $563.09 / $1,026.10	Professional		$373.26	$563.09	$1,026.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $584.64 / $2,860.49	Professional		$410.00	$584.64	$2,860.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.72 / $669.85 / $1,280.59	Professional		$518.72	$669.85	$1,280.59
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 $442.68 / $593.99 / $1,001.35	Professional		$442.68	$593.99	$1,001.35