Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.28 / $1,886.74 / $3,746.25	Facility		$794.28	$1,886.74	$3,746.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.66 / $868.42 / $1,114.78	Professional		$674.66	$868.42	$1,114.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.54 / $2,341.56 / $6,138.22	Facility		$1,672.54	$2,341.56	$6,138.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.84 / $1,390.69 / $2,670.12	Professional		$804.84	$1,390.69	$2,670.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.05 / $1,421.66 / $3,094.20	Facility		$1,139.05	$1,421.66	$3,094.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,421.66 / $1,421.66 / $1,421.66	Professional		$1,421.66	$1,421.66	$1,421.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,553.63	Professional		$611.27	$837.35	$1,553.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.13 / $1,672.54 / $2,324.09	Professional		$1,271.13	$1,672.54	$2,324.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,067.81 / $2,090.67 / $2,132.48	Professional		$2,067.81	$2,090.67	$2,132.48
United Facility/Professional Facility Modifier Low / Median / High Price $420.25 / $607.03 / $874.74	Facility		$420.25	$607.03	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $556.28 / $799.58 / $1,376.63	Professional		$556.28	$799.58	$1,376.63