Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $996.00	Facility		$996.00	$996.00	$996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $996.00 / $1,020.00	Professional		$960.00	$996.00	$1,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $107.46 / $749.54	Professional		$100.84	$107.46	$749.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,050.00 / $1,050.00	Facility		$1,020.00	$1,050.00	$1,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $1,050.22	Professional		$788.99	$788.99	$1,050.22