Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.82 / $761.82 / $1,809.63	Facility		$761.82	$761.82	$1,809.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.82 / $962.29 / $1,274.39	Professional		$761.82	$962.29	$1,274.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.19 / $2,245.87 / $5,887.38	Facility		$1,604.19	$2,245.87	$5,887.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.10 / $1,333.86 / $2,561.01	Professional		$911.10	$1,333.86	$2,561.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,363.56 / $1,604.19 / $3,144.21	Facility		$1,363.56	$1,604.19	$3,144.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,363.56 / $1,363.56 / $1,363.56	Professional		$1,363.56	$1,363.56	$1,363.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $2,109.75	Professional		$748.49	$1,025.33	$2,109.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.18 / $1,604.19 / $2,462.51	Professional		$1,219.18	$1,604.19	$2,462.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.30 / $2,727.12 / $3,027.10	Professional		$1,983.30	$2,727.12	$3,027.10
United Facility/Professional Professional Modifier Low / Median / High Price $541.96 / $800.32 / $1,566.59	Professional		$541.96	$800.32	$1,566.59