Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.93 / $4,592.00 / $6,915.00	Facility		$471.93	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $491.41 / $743.52	Professional		$312.89	$491.41	$743.52
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 $318.10 / $429.24 / $833.17	Professional		$318.10	$429.24	$833.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.92 / $672.17 / $74,999.25	Facility		$548.92	$672.17	$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 $325.00 / $517.97 / $1,104.03	Professional		$325.00	$517.97	$1,104.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.97 / $605.16 / $2,548.07	Professional		$366.97	$605.16	$2,548.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $680.30 / $1,140.65	Professional		$470.41	$680.30	$1,140.65
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 $413.64 / $571.66 / $1,037.41	Professional		$413.64	$571.66	$1,037.41