Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.93 / $918.93 / $2,182.82	Facility		$918.93	$918.93	$2,182.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.93 / $1,192.99 / $1,470.60	Professional		$918.93	$1,192.99	$1,470.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.02 / $2,709.03 / $7,101.52	Facility		$1,935.02	$2,709.03	$7,101.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.89 / $1,608.93 / $3,089.15	Professional		$1,061.89	$1,608.93	$3,089.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,644.77 / $2,188.82 / $3,579.79	Facility		$1,644.77	$2,188.82	$3,579.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,644.77 / $1,644.77 / $1,644.77	Professional		$1,644.77	$1,644.77	$1,644.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $2,636.46	Professional		$880.96	$1,206.80	$2,636.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.62 / $1,935.02 / $2,915.05	Professional		$1,470.62	$1,935.02	$2,915.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.32 / $2,418.78 / $2,467.15	Professional		$2,392.32	$2,418.78	$2,467.15
United Facility/Professional Professional Modifier Low / Median / High Price $652.47 / $965.36 / $1,889.67	Professional		$652.47	$965.36	$1,889.67