Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,000.00 / $2,287.00	Facility		$425.00	$1,000.00	$2,287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.38 / $425.00 / $1,169.71	Professional		$389.38	$425.00	$1,169.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.52 / $824.94 / $1,284.96	Facility		$477.52	$824.94	$1,284.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.95 / $566.73 / $1,237.18	Professional		$369.95	$566.73	$1,237.18
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 / $558.80 / $939.00	Facility		$316.00	$558.80	$939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.63 / $813.99 / $1,494.18	Professional		$443.63	$813.99	$1,494.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.92 / $637.54 / $4,230.89	Professional		$399.92	$637.54	$4,230.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $400.07 / $696.87	Professional		$196.68	$400.07	$696.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,083.56 / $1,314.08 / $2,344.03	Facility		$1,083.56	$1,314.08	$2,344.03
United Facility/Professional Professional Modifier Low / Median / High Price $421.88 / $687.63 / $1,230.18	Professional		$421.88	$687.63	$1,230.18