Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $803.60 / $1,908.89	Facility		$803.60	$803.60	$1,908.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.06 / $896.62 / $1,344.29	Professional		$738.06	$896.62	$1,344.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,692.17 / $2,369.04 / $6,210.26	Facility		$1,692.17	$2,369.04	$6,210.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.18 / $1,407.01 / $2,701.46	Professional		$890.18	$1,407.01	$2,701.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.83 / $1,510.78 / $3,130.51	Facility		$1,261.83	$1,510.78	$3,130.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,438.34 / $1,438.34 / $1,438.34	Professional		$1,438.34	$1,438.34	$1,438.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,125.06 / $1,983.44	Professional		$839.33	$1,125.06	$1,983.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.05 / $1,692.17 / $2,350.69	Professional		$1,286.05	$1,692.17	$2,350.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.08 / $2,115.21 / $2,157.51	Professional		$2,092.08	$2,115.21	$2,157.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $836.72 / $1,407.01	Professional		$562.79	$836.72	$1,407.01