Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $774.90 / $1,902.00	Facility		$399.00	$774.90	$1,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $522.00 / $900.00	Professional		$360.00	$522.00	$900.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $720.00 / $2,076.00	Facility		$528.00	$720.00	$2,076.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $554.28 / $1,007.85	Professional		$180.00	$554.28	$1,007.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $840.00 / $1,290.00	Facility		$600.00	$840.00	$1,290.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $780.00	Professional		$600.00	$720.00	$780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.60 / $975.00 / $1,665.50	Facility		$392.60	$975.00	$1,665.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $806.10 / $2,322.55	Professional		$273.62	$806.10	$2,322.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $823.00 / $4,677.88	Professional		$600.00	$823.00	$4,677.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $840.00 / $1,110.00	Professional		$726.00	$840.00	$1,110.00
United Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $600.00	Facility		$540.00	$540.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $1,235.64	Professional		$252.00	$360.00	$1,235.64