Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.90 / $451.90 / $1,073.43	Facility		$451.90	$451.90	$1,073.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.50 / $491.49 / $675.19	Professional		$414.50	$491.49	$675.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.57 / $1,332.20 / $3,492.26	Facility		$951.57	$1,332.20	$3,492.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.42 / $791.22 / $1,519.14	Professional		$488.42	$791.22	$1,519.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.27 / $825.99 / $1,760.40	Facility		$698.27	$825.99	$1,760.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $808.83 / $808.83 / $808.83	Professional		$808.83	$808.83	$808.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $1,093.65	Professional		$373.28	$511.34	$1,093.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.19 / $951.57 / $1,322.16	Professional		$723.19	$951.57	$1,322.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.46 / $1,189.46 / $1,213.25	Professional		$1,176.46	$1,189.46	$1,213.25
United Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $370.70 / $462.96	Facility		$256.64	$370.70	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $474.73 / $783.23	Professional		$316.49	$474.73	$783.23