Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.88 / $2,398.35 / $4,280.10	Facility		$897.88	$2,398.35	$4,280.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,080.15 / $1,508.44	Professional		$810.11	$1,080.15	$1,508.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.29 / $1,491.96 / $4,671.66	Facility		$879.29	$1,491.96	$4,671.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.06 / $540.08 / $1,674.24	Professional		$405.06	$540.08	$1,674.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,025.69 / $1,890.27 / $2,646.37	Facility		$1,025.69	$1,890.27	$2,646.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.60 / $2,970.42 / $3,746.64	Facility		$715.60	$2,970.42	$3,746.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.85 / $1,551.64 / $4,038.28	Professional		$614.85	$1,551.64	$4,038.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,755.25 / $10,525.22	Professional		$1,350.19	$1,755.25	$10,525.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.73 / $1,890.27 / $2,497.85	Professional		$1,633.73	$1,890.27	$2,497.85
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $2,363.51	Professional		$567.08	$810.11	$2,363.51