Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.29 / $3,460.00 / $6,915.00	Facility		$687.29	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.16 / $610.39 / $999.03	Professional		$423.16	$610.39	$999.03
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 $427.51 / $598.51 / $1,123.44	Professional		$427.51	$598.51	$1,123.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.30 / $891.03 / $74,999.25	Facility		$738.30	$891.03	$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 $452.98 / $718.83 / $1,399.70	Professional		$452.98	$718.83	$1,399.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.46 / $803.62 / $3,424.33	Professional		$486.46	$803.62	$3,424.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $606.39 / $855.16 / $1,534.14	Professional		$606.39	$855.16	$1,534.14
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 $579.34 / $735.54 / $1,285.82	Professional		$579.34	$735.54	$1,285.82