Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.87 / $618.87 / $1,470.05	Facility		$618.87	$618.87	$1,470.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.29 / $695.43 / $868.58	Professional		$586.29	$695.43	$868.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.17 / $1,824.44 / $4,782.63	Facility		$1,303.17	$1,824.44	$4,782.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.32 / $1,110.83 / $2,080.44	Professional		$752.32	$1,110.83	$2,080.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.31 / $1,107.69 / $2,410.86	Facility		$1,075.31	$1,107.69	$2,410.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,107.69 / $1,107.69 / $1,107.69	Professional		$1,107.69	$1,107.69	$1,107.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $1,502.63	Professional		$528.16	$723.52	$1,502.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.41 / $1,303.17 / $2,181.00	Professional		$990.41	$1,303.17	$2,181.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,628.96 / $2,410.86	Professional		$864.00	$1,628.96	$2,410.86
United Facility/Professional Professional Modifier Low / Median / High Price $433.42 / $650.14 / $1,450.42	Professional		$433.42	$650.14	$1,450.42