Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.98 / $1,429.94 / $22,276.97	Facility		$601.98	$1,429.94	$22,276.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $676.44 / $942.82	Professional		$570.29	$676.44	$942.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,267.60 / $1,774.65 / $4,652.13	Facility		$1,267.60	$1,774.65	$4,652.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.90 / $1,053.99 / $2,023.66	Professional		$684.90	$1,053.99	$2,023.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,045.99 / $1,077.47 / $2,345.08	Facility		$1,045.99	$1,077.47	$2,345.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.47 / $1,077.47 / $1,077.47	Professional		$1,077.47	$1,077.47	$1,077.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $1,461.75	Professional		$541.58	$541.58	$1,461.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.38 / $1,267.60 / $2,238.30	Professional		$963.38	$1,267.60	$2,238.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $711.13 / $1,567.18 / $2,345.08	Professional		$711.13	$1,567.18	$2,345.08
United Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $632.39 / $1,096.82	Professional		$421.60	$632.39	$1,096.82