Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.05 / $4,592.00 / $6,915.00	Facility		$343.05	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.46 / $318.27 / $475.24	Professional		$199.46	$318.27	$475.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $281.37 / $515.35	Professional		$196.11	$281.37	$515.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.80 / $408.75 / $74,999.25	Facility		$331.80	$408.75	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.91 / $279.88 / $778.00	Facility		$223.91	$279.88	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $373.49 / $725.18	Professional		$228.80	$373.49	$725.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.16 / $409.37 / $1,537.57	Professional		$223.16	$409.37	$1,537.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.32 / $425.11 / $689.48	Professional		$286.32	$425.11	$689.48
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 $288.23 / $404.99 / $682.56	Professional		$288.23	$404.99	$682.56