Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.86 / $2,286.10 / $4,079.79	Facility		$855.86	$2,286.10	$4,079.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $1,119.69 / $1,480.05	Professional		$855.86	$1,119.69	$1,480.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.14 / $1,422.14 / $4,453.02	Facility		$838.14	$1,422.14	$4,453.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $514.79 / $1,595.88	Professional		$386.10	$514.79	$1,595.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $968.47 / $1,801.80 / $2,522.52	Facility		$968.47	$1,801.80	$2,522.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.11 / $2,831.40 / $3,571.72	Facility		$682.11	$2,831.40	$3,571.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.07 / $1,478.95 / $3,849.62	Professional		$586.07	$1,478.95	$3,849.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,673.10 / $10,030.23	Professional		$1,287.00	$1,673.10	$10,030.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.27 / $1,801.80 / $2,380.94	Professional		$1,557.27	$1,801.80	$2,380.94
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $772.20 / $2,252.89	Professional		$540.54	$772.20	$2,252.89