Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.77 / $1,518.57 / $2,682.68	Facility		$562.77	$1,518.57	$2,682.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.77 / $867.43 / $1,362.49	Professional		$562.77	$867.43	$1,362.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.72 / $1,081.18 / $2,928.09	Facility		$744.72	$1,081.18	$2,928.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $846.27 / $1,049.38	Professional		$338.51	$846.27	$1,049.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,184.78 / $1,819.48	Facility		$846.27	$1,184.78	$1,819.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,015.52 / $1,100.15	Professional		$846.27	$1,015.52	$1,100.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.03 / $1,331.18 / $2,348.23	Facility		$410.03	$1,331.18	$2,348.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $1,292.25 / $4,762.59	Professional		$385.87	$1,292.25	$4,762.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,100.15 / $6,595.31	Professional		$761.64	$1,100.15	$6,595.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.99 / $1,184.78 / $1,565.60	Professional		$1,023.99	$1,184.78	$1,565.60
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,777.17	Professional		$355.43	$507.76	$1,777.17