Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.30 / $718.30 / $1,706.24	Facility		$718.30	$718.30	$1,706.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.49 / $807.15 / $1,125.00	Professional		$680.49	$807.15	$1,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,512.55 / $2,117.57 / $5,551.06	Facility		$1,512.55	$2,117.57	$5,551.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.68 / $1,257.65 / $2,414.69	Professional		$795.68	$1,257.65	$2,414.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,248.07 / $1,285.67 / $2,798.22	Facility		$1,248.07	$1,285.67	$2,798.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Professional		$1,285.67	$1,285.67	$1,285.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $952.26 / $1,744.13	Professional		$758.37	$952.26	$1,744.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.54 / $1,512.55 / $2,101.19	Professional		$1,149.54	$1,512.55	$2,101.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.01 / $2,571.34 / $2,854.18	Professional		$1,870.01	$2,571.34	$2,854.18
United Facility/Professional Professional Modifier Low / Median / High Price $503.06 / $754.59 / $1,257.65	Professional		$503.06	$754.59	$1,257.65