Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.16 / $516.16 / $1,226.10	Facility		$516.16	$516.16	$1,226.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $580.03 / $724.46	Professional		$504.39	$580.03	$724.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,086.92 / $1,521.69 / $3,989.00	Facility		$1,086.92	$1,521.69	$3,989.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $903.76 / $1,735.22	Professional		$445.00	$903.76	$1,735.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $896.89 / $923.88 / $2,010.80	Facility		$896.89	$923.88	$2,010.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $923.88 / $923.88 / $923.88	Professional		$923.88	$923.88	$923.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $684.30 / $1,253.25	Professional		$512.48	$684.30	$1,253.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.06 / $1,086.92 / $1,510.06	Professional		$826.06	$1,086.92	$1,510.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.78 / $1,390.50 / $2,010.80	Professional		$1,075.78	$1,390.50	$2,010.80
United Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $542.26 / $894.63	Professional		$361.50	$542.26	$894.63