Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.74 / $1,762.65 / $20,868.39	Facility		$758.74	$1,762.65	$20,868.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.81 / $852.61 / $1,188.34	Professional		$718.81	$852.61	$1,188.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,597.72 / $2,236.81 / $5,863.63	Facility		$1,597.72	$2,236.81	$5,863.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.27 / $1,328.47 / $2,550.66	Professional		$863.27	$1,328.47	$2,550.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.35 / $1,358.06 / $2,955.78	Facility		$1,318.35	$1,358.06	$2,955.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,358.06 / $1,358.06 / $1,358.06	Professional		$1,358.06	$1,358.06	$1,358.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,842.38	Professional		$814.12	$814.12	$1,842.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.27 / $1,597.72 / $2,821.61	Professional		$1,214.27	$1,597.72	$2,821.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $896.32 / $1,975.30 / $2,955.78	Professional		$896.32	$1,975.30	$2,955.78
United Facility/Professional Professional Modifier Low / Median / High Price $531.39 / $797.08 / $1,315.04	Professional		$531.39	$797.08	$1,315.04