Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.58 / $845.58 / $2,008.59	Facility		$845.58	$845.58	$2,008.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.78 / $889.96 / $1,186.78	Professional		$692.78	$889.96	$1,186.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,780.56 / $2,492.78 / $6,534.66	Facility		$1,780.56	$2,492.78	$6,534.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.97 / $1,480.51 / $2,842.58	Professional		$829.97	$1,480.51	$2,842.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,167.31 / $1,513.48 / $3,294.04	Facility		$1,167.31	$1,513.48	$3,294.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.48 / $1,513.48 / $1,513.48	Professional		$1,513.48	$1,513.48	$1,513.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $869.28 / $1,592.25	Professional		$648.52	$869.28	$1,592.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.23 / $1,780.56 / $2,473.92	Professional		$1,353.23	$1,780.56	$2,473.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.36 / $2,225.69 / $2,270.21	Professional		$2,201.36	$2,225.69	$2,270.21
United Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $836.16 / $1,480.51	Professional		$592.20	$836.16	$1,480.51