Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.05 / $513.05 / $1,218.71	Facility		$513.05	$513.05	$1,218.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.05 / $576.53 / $746.64	Professional		$486.05	$576.53	$746.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.36 / $1,512.52 / $3,964.96	Facility		$1,080.36	$1,512.52	$3,964.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.11 / $898.30 / $1,724.74	Professional		$562.11	$898.30	$1,724.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.45 / $918.31 / $1,998.68	Facility		$891.45	$918.31	$1,998.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $918.31 / $918.31 / $918.31	Professional		$918.31	$918.31	$918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $680.18 / $1,245.75	Professional		$507.65	$680.18	$1,245.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.08 / $1,080.36 / $1,501.18	Professional		$821.08	$1,080.36	$1,501.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.69 / $1,836.63 / $2,038.66	Professional		$1,335.69	$1,836.63	$2,038.66
United Facility/Professional Professional Modifier Low / Median / High Price $359.32 / $538.98 / $1,055.05	Professional		$359.32	$538.98	$1,055.05