Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $1,035.01 / $2,406.19	Facility		$504.77	$1,035.01	$2,406.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $599.65 / $728.69	Professional		$455.43	$599.65	$728.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.01 / $827.32 / $2,626.31	Facility		$504.01	$827.32	$2,626.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $303.62 / $1,243.60	Professional		$227.71	$303.62	$1,243.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,062.67 / $1,631.43	Facility		$493.38	$1,062.67	$1,631.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $759.05 / $948.81	Professional		$493.38	$759.05	$948.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.89 / $1,669.91 / $2,106.53	Facility		$756.89	$1,669.91	$2,106.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $462.25 / $1,958.35	Professional		$345.68	$462.25	$1,958.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,041.10 / $5,915.37	Professional		$759.05	$1,041.10	$5,915.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,062.67 / $1,404.24	Professional		$918.45	$1,062.67	$1,404.24
United Facility/Professional Facility Modifier Low / Median / High Price $683.15 / $683.15 / $759.05	Facility		$683.15	$683.15	$759.05
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,163.38	Professional		$318.80	$455.43	$1,163.38