Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.16 / $572.16 / $1,359.12	Facility		$572.16	$572.16	$1,359.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $684.35 / $1,086.63	Professional		$563.28	$684.35	$1,086.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,204.82 / $1,686.75 / $4,421.68	Facility		$1,204.82	$1,686.75	$4,421.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.88 / $1,001.79 / $1,923.44	Professional		$626.88	$1,001.79	$1,923.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.16 / $1,024.09 / $2,228.92	Facility		$994.16	$1,024.09	$2,228.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.09 / $1,024.09 / $1,024.09	Professional		$1,024.09	$1,024.09	$1,024.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,430.57	Professional		$537.78	$537.78	$1,430.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.66 / $1,204.82 / $1,673.87	Professional		$915.66	$1,204.82	$1,673.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.55 / $2,048.19 / $2,273.50	Professional		$1,489.55	$2,048.19	$2,273.50
United Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $592.91 / $991.67	Professional		$400.72	$592.91	$991.67