Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.25 / $840.25 / $2,244.40	Facility		$840.25	$840.25	$2,244.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.25 / $1,074.00 / $1,212.99	Professional		$840.25	$1,074.00	$1,212.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.40 / $1,263.53 / $1,620.28	Facility		$139.40	$1,263.53	$1,620.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $76.56 / $1,561.72	Professional		$66.38	$76.56	$1,561.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $1,832.12 / $2,715.70	Facility		$1,263.53	$1,832.12	$2,715.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,887.65 / $2,779.77 / $3,896.48	Facility		$1,887.65	$2,779.77	$3,896.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $1,389.88 / $1,768.94	Professional		$1,137.18	$1,389.88	$1,768.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,465.69 / $1,693.13 / $2,337.53	Professional		$1,465.69	$1,693.13	$2,337.53
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $758.12 / $2,211.81	Professional		$530.67	$758.12	$2,211.81