Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.33 / $2,074.51 / $3,860.34	Facility		$873.33	$2,074.51	$3,860.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.33 / $1,049.26 / $1,315.59	Professional		$873.33	$1,049.26	$1,315.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.01 / $2,574.61 / $6,749.17	Facility		$1,839.01	$2,574.61	$6,749.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.16 / $1,529.10 / $2,935.87	Professional		$1,016.16	$1,529.10	$2,935.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,563.16 / $1,727.91 / $3,402.17	Facility		$1,563.16	$1,727.91	$3,402.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,563.16 / $1,563.16 / $1,563.16	Professional		$1,563.16	$1,563.16	$1,563.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $2,340.46	Professional		$809.14	$1,108.41	$2,340.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.65 / $1,839.01 / $2,682.19	Professional		$1,397.65	$1,839.01	$2,682.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,273.62 / $3,126.32 / $3,470.21	Professional		$2,273.62	$3,126.32	$3,470.21
United Facility/Professional Professional Modifier Low / Median / High Price $611.64 / $917.46 / $1,513.63	Professional		$611.64	$917.46	$1,513.63