Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $965.00 / $2,287.00	Facility		$425.00	$965.00	$2,287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $425.00 / $1,033.69	Professional		$350.66	$425.00	$1,033.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.61 / $795.87 / $1,284.96	Facility		$475.61	$795.87	$1,284.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.56 / $531.75 / $1,021.12	Professional		$338.56	$531.75	$1,021.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $549.98 / $939.00	Facility		$316.00	$549.98	$939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.08 / $700.40 / $1,236.92	Professional		$390.08	$700.40	$1,236.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $561.63 / $1,655.47	Professional		$352.30	$561.63	$1,655.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $352.08 / $608.71	Professional		$111.90	$352.08	$608.71
United Facility/Professional Facility Modifier Low / Median / High Price $650.16 / $665.53 / $703.22	Facility		$650.16	$665.53	$703.22
United Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $562.35 / $964.03	Professional		$380.94	$562.35	$964.03