Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $606.29 / $1,440.21	Facility		$606.29	$606.29	$1,440.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $765.84 / $1,014.23	Professional		$606.29	$765.84	$1,014.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.69 / $1,787.37 / $4,685.45	Facility		$1,276.69	$1,787.37	$4,685.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.66 / $1,061.55 / $2,038.18	Professional		$680.66	$1,061.55	$2,038.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,083.80 / $1,275.43 / $2,361.88	Facility		$1,083.80	$1,275.43	$2,361.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.19 / $1,085.19 / $1,085.19	Professional		$1,085.19	$1,085.19	$1,085.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $949.80 / $1,703.87	Professional		$771.87	$949.80	$1,703.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.28 / $1,276.69 / $1,924.33	Professional		$970.28	$1,276.69	$1,924.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.41 / $1,595.86 / $1,627.78	Professional		$1,578.41	$1,595.86	$1,627.78
United Facility/Professional Professional Modifier Low / Median / High Price $424.62 / $636.92 / $1,061.55	Professional		$424.62	$636.92	$1,061.55