Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.65 / $902.65 / $2,144.16	Facility		$902.65	$902.65	$2,144.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.50 / $1,038.34 / $1,476.09	Professional		$775.50	$1,038.34	$1,476.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.75 / $2,661.05 / $6,975.75	Facility		$1,900.75	$2,661.05	$6,975.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $1,580.44 / $3,034.44	Professional		$970.78	$1,580.44	$3,034.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,356.92 / $1,615.64 / $3,516.39	Facility		$1,356.92	$1,615.64	$3,516.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,615.64 / $1,615.64 / $1,615.64	Professional		$1,615.64	$1,615.64	$1,615.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $2,133.09	Professional		$752.17	$752.17	$2,133.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,444.57 / $1,900.75 / $3,172.44	Professional		$1,444.57	$1,900.75	$3,172.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.32 / $2,349.94 / $3,516.39	Professional		$1,066.32	$2,349.94	$3,516.39
United Facility/Professional Professional Modifier Low / Median / High Price $632.17 / $947.33 / $2,115.51	Professional		$632.17	$947.33	$2,115.51