Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.17 / $805.17 / $1,912.63	Facility		$805.17	$805.17	$1,912.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.79 / $904.78 / $1,276.67	Professional		$762.79	$904.78	$1,276.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,695.48 / $2,373.67 / $6,222.41	Facility		$1,695.48	$2,373.67	$6,222.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.91 / $1,409.76 / $2,706.74	Professional		$903.91	$1,409.76	$2,706.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.05 / $1,441.16 / $3,136.64	Facility		$1,399.05	$1,441.16	$3,136.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,441.16 / $1,441.16 / $1,441.16	Professional		$1,441.16	$1,441.16	$1,441.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $1,954.88	Professional		$687.17	$941.33	$1,954.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.56 / $1,695.48 / $2,355.40	Professional		$1,288.56	$1,695.48	$2,355.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.06 / $2,882.32 / $3,199.37	Professional		$1,102.06	$2,882.32	$3,199.37
United Facility/Professional Professional Modifier Low / Median / High Price $563.90 / $845.86 / $1,467.05	Professional		$563.90	$845.86	$1,467.05