Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.70 / $1,104.83 / $2,472.60	Facility		$518.70	$1,104.83	$2,472.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $717.60 / $887.55	Professional		$518.70	$717.60	$887.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.13 / $858.00 / $2,698.80	Facility		$475.13	$858.00	$2,698.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $312.00 / $1,326.00	Professional		$196.56	$312.00	$1,326.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,092.00 / $1,677.00	Facility		$780.00	$1,092.00	$1,677.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $936.00 / $1,014.00	Professional		$780.00	$936.00	$1,014.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.09 / $1,226.94 / $2,164.84	Facility		$251.09	$1,226.94	$2,164.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $1,047.83 / $4,390.51	Professional		$355.22	$1,047.83	$4,390.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $1,014.00 / $6,078.52	Professional		$702.00	$1,014.00	$6,078.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $943.80 / $1,092.00 / $1,443.00	Professional		$943.80	$1,092.00	$1,443.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $1,417.34	Professional		$327.60	$468.00	$1,417.34