Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,290.87	Facility		$891.25	$891.25	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,698.24	Professional		$831.76	$933.25	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $7,079.46	Facility		$1,905.46	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,454.71	Professional		$1,000.00	$1,548.82	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $3,162.28	Facility		$1,174.90	$1,174.90	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,137.96	Professional		$870.96	$870.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,691.53	Professional		$1,348.96	$1,905.46	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $3,890.45	Professional		$2,238.72	$2,570.40	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,202.26	Facility		$562.34	$891.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Professional		$630.96	$912.01	$1,698.24