Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.63 / $571.63 / $1,357.86	Facility		$571.63	$571.63	$1,357.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.63 / $722.95 / $956.24	Professional		$571.63	$722.95	$956.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.71 / $1,685.19 / $4,417.62	Facility		$1,203.71	$1,685.19	$4,417.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.73 / $1,000.86 / $1,921.65	Professional		$641.73	$1,000.86	$1,921.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.15 / $1,177.38 / $2,226.86	Facility		$1,023.15	$1,177.38	$2,226.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.15 / $1,023.15 / $1,023.15	Professional		$1,023.15	$1,023.15	$1,023.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,608.44	Professional		$549.07	$549.07	$1,608.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.82 / $1,203.71 / $1,816.68	Professional		$914.82	$1,203.71	$1,816.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.31 / $2,087.23 / $2,271.39	Professional		$2,046.31	$2,087.23	$2,271.39
United Facility/Professional Professional Modifier Low / Median / High Price $400.34 / $600.52 / $990.75	Professional		$400.34	$600.52	$990.75