Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.50 / $1,614.92 / $2,853.00	Facility		$598.50	$1,614.92	$2,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $800.00 / $1,050.00	Professional		$400.00	$800.00	$1,050.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.11 / $994.50 / $3,114.00	Facility		$586.11	$994.50	$3,114.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $360.00 / $1,765.80	Professional		$226.80	$360.00	$1,765.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,305.00 / $1,934.37	Facility		$900.00	$1,305.00	$1,934.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.91 / $1,415.70 / $2,497.76	Facility		$401.91	$1,415.70	$2,497.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.95 / $1,374.36 / $5,066.47	Professional		$409.95	$1,374.36	$5,066.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,170.00 / $7,014.08	Professional		$810.00	$1,170.00	$7,014.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,260.00 / $1,665.00	Professional		$1,089.00	$1,260.00	$1,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $1,575.45	Professional		$378.00	$540.00	$1,575.45