Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.50 / $888.50 / $2,373.29	Facility		$888.50	$888.50	$2,373.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.50 / $1,135.68 / $1,282.65	Professional		$888.50	$1,135.68	$1,282.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.87 / $1,336.09 / $1,713.32	Facility		$813.87	$1,336.09	$1,713.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $1,336.09	Professional		$423.14	$423.14	$1,336.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,870.53 / $2,872.59	Facility		$1,336.09	$1,870.53	$2,872.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,603.31 / $1,736.92	Professional		$1,336.09	$1,603.31	$1,736.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.07 / $2,939.40 / $4,120.10	Facility		$1,996.07	$2,939.40	$4,120.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.05 / $3,233.34 / $3,487.19	Professional		$668.05	$3,233.34	$3,487.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,736.92 / $3,118.88	Professional		$1,202.48	$1,736.92	$3,118.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.67 / $1,870.53 / $2,471.77	Professional		$1,616.67	$1,870.53	$2,471.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.48 / $1,202.48 / $1,336.09	Facility		$1,202.48	$1,202.48	$1,336.09
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $2,338.83	Professional		$561.16	$801.65	$2,338.83