Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.57 / $590.57 / $1,402.85	Facility		$590.57	$590.57	$1,402.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $745.98 / $1,467.45	Professional		$581.41	$745.98	$1,467.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.59 / $1,741.04 / $4,564.01	Facility		$1,243.59	$1,741.04	$4,564.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.35 / $1,034.02 / $1,985.32	Professional		$628.35	$1,034.02	$1,985.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.15 / $1,057.06 / $2,300.66	Facility		$1,026.15	$1,057.06	$2,300.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.06 / $1,057.06 / $1,057.06	Professional		$1,057.06	$1,057.06	$1,057.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $1,315.60	Professional		$551.92	$551.92	$1,315.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.14 / $1,243.59 / $2,196.71	Professional		$945.14	$1,243.59	$2,196.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $697.66 / $1,537.49 / $2,300.66	Professional		$697.66	$1,537.49	$2,300.66
United Facility/Professional Professional Modifier Low / Median / High Price $413.61 / $612.14 / $1,023.56	Professional		$413.61	$612.14	$1,023.56