Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.78 / $455.78 / $1,082.65	Facility		$455.78	$455.78	$1,082.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.27 / $483.64 / $694.33	Professional		$389.27	$483.64	$694.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.74 / $1,343.64 / $3,522.25	Facility		$959.74	$1,343.64	$3,522.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.26 / $798.01 / $1,532.18	Professional		$469.26	$798.01	$1,532.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.90 / $815.78 / $1,775.52	Facility		$655.90	$815.78	$1,775.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $815.78 / $815.78	Professional		$815.78	$815.78	$815.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $488.45 / $894.75	Professional		$364.39	$488.45	$894.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.40 / $959.74 / $1,333.36	Professional		$729.40	$959.74	$1,333.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.56 / $1,199.67 / $1,223.66	Professional		$1,186.56	$1,199.67	$1,223.66
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $458.82 / $789.94	Professional		$319.20	$458.82	$789.94