Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $4,592.00 / $6,915.00	Facility		$654.04	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.18 / $584.11 / $933.61	Professional		$447.18	$584.11	$933.61
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 $455.81 / $624.05 / $1,140.04	Professional		$455.81	$624.05	$1,140.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.85 / $960.12 / $74,999.25	Facility		$788.85	$960.12	$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 $463.59 / $697.19 / $1,327.15	Professional		$463.59	$697.19	$1,327.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.17 / $743.24 / $3,658.84	Professional		$524.17	$743.24	$3,658.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $659.23 / $843.25 / $1,639.20	Professional		$659.23	$843.25	$1,639.20
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 $539.29 / $687.19 / $1,226.01	Professional		$539.29	$687.19	$1,226.01