Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.11 / $4,467.00 / $6,915.00	Facility		$666.11	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $575.63 / $979.38	Professional		$400.26	$575.63	$979.38
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 $443.36 / $610.79 / $1,099.52	Professional		$443.36	$610.79	$1,099.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $665.04 / $916.18 / $1,649.28	Professional	50	$665.04	$916.18	$1,649.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.89 / $925.44 / $74,999.25	Facility		$760.89	$925.44	$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 $462.71 / $709.19 / $1,352.14	Professional		$462.71	$709.19	$1,352.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $792.97 / $3,528.78	Professional		$505.25	$792.97	$3,528.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $635.10 / $842.72 / $1,581.10	Professional		$635.10	$842.72	$1,581.10
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 $547.51 / $755.59 / $1,298.07	Professional		$547.51	$755.59	$1,298.07