Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.47 / $759.47 / $2,028.65	Facility		$759.47	$759.47	$2,028.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.47 / $970.75 / $1,096.38	Professional		$759.47	$970.75	$1,096.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $1,246.40 / $2,375.48	Facility		$856.55	$1,246.40	$2,375.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.80 / $1,246.40 / $1,918.66	Professional		$934.80	$1,246.40	$1,918.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.06 / $1,655.99 / $2,454.62	Facility		$1,142.06	$1,655.99	$2,454.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.19 / $2,512.53 / $3,588.27	Facility		$1,706.19	$2,512.53	$3,588.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,256.27 / $1,598.88	Professional		$1,027.84	$1,256.27	$1,598.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.79 / $1,530.36 / $2,112.81	Professional		$1,324.79	$1,530.36	$2,112.81
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $685.24 / $2,351.96	Professional		$479.67	$685.24	$2,351.96