Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.49 / $925.49 / $2,198.42	Facility		$925.49	$925.49	$2,198.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.78 / $1,062.55 / $1,455.25	Professional		$876.78	$1,062.55	$1,455.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,948.84 / $2,728.38 / $7,152.24	Facility		$1,948.84	$2,728.38	$7,152.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.19 / $1,620.42 / $3,111.21	Professional		$1,025.19	$1,620.42	$3,111.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,462.37 / $1,656.51 / $3,605.35	Facility		$1,462.37	$1,656.51	$3,605.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,656.51 / $1,656.51 / $1,656.51	Professional		$1,656.51	$1,656.51	$1,656.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,186.58 / $2,173.13	Professional		$885.22	$1,186.58	$2,173.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.12 / $1,948.84 / $2,707.34	Professional		$1,481.12	$1,948.84	$2,707.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,409.40 / $2,436.05 / $2,484.78	Professional		$2,409.40	$2,436.05	$2,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $648.16 / $952.88 / $1,604.04	Professional		$648.16	$952.88	$1,604.04