Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.85 / $1,754.67 / $3,512.35	Facility		$737.85	$1,754.67	$3,512.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.26 / $891.99 / $1,860.34	Professional		$669.26	$891.99	$1,860.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.12 / $2,308.77 / $6,052.27	Facility		$1,649.12	$2,308.77	$6,052.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.87 / $1,371.22 / $2,632.74	Professional		$756.87	$1,371.22	$2,632.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.83 / $1,401.75 / $3,050.87	Facility		$1,073.83	$1,401.75	$3,050.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,401.75 / $1,401.75 / $1,401.75	Professional		$1,401.75	$1,401.75	$1,401.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $1,688.19	Professional		$661.77	$661.77	$1,688.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.33 / $1,649.12 / $2,291.19	Professional		$1,253.33	$1,649.12	$2,291.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $925.15 / $2,038.86 / $3,050.87	Professional		$925.15	$2,038.86	$3,050.87
United Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $774.44 / $1,357.38	Professional		$548.49	$774.44	$1,357.38