Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.48 / $882.48 / $2,096.25	Facility		$882.48	$882.48	$2,096.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.03 / $1,114.71 / $1,343.18	Professional		$836.03	$1,114.71	$1,343.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,858.27 / $2,601.58 / $6,819.85	Facility		$1,858.27	$2,601.58	$6,819.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.70 / $1,545.12 / $2,966.63	Professional		$990.70	$1,545.12	$2,966.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,579.53 / $1,833.71 / $3,437.80	Facility		$1,579.53	$1,833.71	$3,437.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,579.53 / $1,579.53 / $1,579.53	Professional		$1,579.53	$1,579.53	$1,579.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.29 / $1,858.27 / $2,693.18	Professional		$1,412.29	$1,858.27	$2,693.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,297.44 / $2,322.84 / $2,369.30	Professional		$2,297.44	$2,322.84	$2,369.30
United Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $927.07 / $1,814.72	Professional		$618.04	$927.07	$1,814.72