Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.57 / $1,949.97 / $2,301.98	Facility		$451.57	$1,949.97	$2,301.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $782.37 / $1,139.97	Professional		$451.57	$782.37	$1,139.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.22 / $867.54 / $4,511.67	Facility		$442.22	$867.54	$4,511.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $335.33 / $1,173.55	Professional		$251.49	$335.33	$1,173.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $1,825.53 / $2,802.57	Facility		$847.57	$1,825.53	$2,802.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,303.95 / $1,629.94	Professional		$847.57	$1,303.95	$1,629.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $1,493.91 / $2,094.02	Facility		$359.90	$1,493.91	$2,094.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.16 / $912.09 / $3,364.19	Professional		$344.16	$912.09	$3,364.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.02 / $1,695.14 / $5,292.52	Professional		$742.02	$1,695.14	$5,292.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $821.65 / $1,629.94 / $2,412.31	Professional		$821.65	$1,629.94	$2,412.31
United Facility/Professional Facility Modifier Low / Median / High Price $611.15 / $611.15 / $838.33	Facility		$611.15	$611.15	$838.33
United Facility/Professional Professional Modifier Low / Median / High Price $377.25 / $558.89 / $1,426.01	Professional		$377.25	$558.89	$1,426.01