Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.73 / $611.73 / $1,453.11	Facility		$611.73	$611.73	$1,453.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $647.66 / $902.50	Professional		$535.57	$647.66	$902.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.14 / $1,803.40 / $4,727.47	Facility		$1,288.14	$1,803.40	$4,727.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.78 / $1,071.07 / $2,056.44	Professional		$656.78	$1,071.07	$2,056.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.61 / $1,094.92 / $2,383.06	Facility		$916.61	$1,094.92	$2,383.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,094.92 / $1,094.92 / $1,094.92	Professional		$1,094.92	$1,094.92	$1,094.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $1,395.75	Professional		$519.62	$519.62	$1,395.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.99 / $1,288.14 / $2,143.39	Professional		$978.99	$1,288.14	$2,143.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.64 / $1,592.56 / $2,383.06	Professional		$722.64	$1,592.56	$2,383.06
United Facility/Professional Professional Modifier Low / Median / High Price $428.43 / $615.82 / $1,060.25	Professional		$428.43	$615.82	$1,060.25