Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.50 / $577.50 / $1,371.78	Facility		$577.50	$577.50	$1,371.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.10 / $648.92 / $915.67	Professional		$547.10	$648.92	$915.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.05 / $1,702.47 / $4,462.89	Facility		$1,216.05	$1,702.47	$4,462.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $1,011.13 / $1,941.37	Professional		$647.30	$1,011.13	$1,941.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.40 / $1,033.64 / $2,249.69	Facility		$1,003.40	$1,033.64	$2,249.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,033.64 / $1,033.64 / $1,033.64	Professional		$1,033.64	$1,033.64	$1,033.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $765.59 / $1,402.13	Professional		$571.16	$765.59	$1,402.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.20 / $1,216.05 / $1,689.19	Professional		$924.20	$1,216.05	$1,689.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.44 / $2,067.28 / $2,294.67	Professional		$1,503.44	$2,067.28	$2,294.67
United Facility/Professional Professional Modifier Low / Median / High Price $404.45 / $598.42 / $1,002.11	Professional		$404.45	$598.42	$1,002.11