Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.31 / $1,347.07 / $2,404.00	Facility		$504.31	$1,347.07	$2,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $697.69 / $847.24	Professional		$504.31	$697.69	$847.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $834.20 / $2,623.93	Facility		$461.95	$834.20	$2,623.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $303.33 / $1,289.21	Professional		$191.10	$303.33	$1,289.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $1,099.61 / $1,629.94	Facility		$758.36	$1,099.61	$1,629.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.48 / $1,192.90 / $2,104.67	Facility		$263.48	$1,192.90	$2,104.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.77 / $1,018.55 / $2,267.78	Professional		$345.77	$1,018.55	$2,267.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.52 / $985.87 / $5,909.91	Professional		$682.52	$985.87	$5,909.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $917.62 / $1,061.70 / $1,402.97	Professional		$917.62	$1,061.70	$1,402.97
United Facility/Professional Facility Modifier Low / Median / High Price $682.52 / $682.52 / $682.52	Facility		$682.52	$682.52	$682.52
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $455.02 / $1,561.77	Professional		$318.51	$455.02	$1,561.77