Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.34 / $536.34 / $1,274.02	Facility		$536.34	$536.34	$1,274.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.11 / $647.08 / $958.50	Professional		$508.11	$647.08	$958.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,129.40 / $1,581.16 / $4,144.89	Facility		$1,129.40	$1,581.16	$4,144.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $939.07 / $1,803.01	Professional		$602.11	$939.07	$1,803.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.99 / $990.17 / $2,089.39	Facility		$959.99	$990.17	$2,089.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $959.99 / $959.99 / $959.99	Professional		$959.99	$959.99	$959.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,383.97	Professional		$535.05	$535.05	$1,383.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.34 / $1,129.40 / $1,568.78	Professional		$858.34	$1,129.40	$1,568.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.93 / $1,444.84 / $2,089.39	Professional		$1,072.93	$1,444.84	$2,089.39
United Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $563.44 / $929.57	Professional		$375.63	$563.44	$929.57