Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,584.89	Facility		$616.60	$616.60	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,174.90	Professional		$562.34	$660.69	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $4,897.79	Facility		$1,318.26	$3,162.28	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,621.81	Professional		$758.58	$1,071.52	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $2,041.74	Facility		$724.44	$724.44	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,513.56	Professional		$524.81	$524.81	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,238.72	Professional		$870.96	$1,318.26	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,344.23	Professional		$1,318.26	$1,698.24	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $831.76	Facility		$389.05	$562.34	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,258.93	Professional		$436.52	$630.96	$1,258.93