Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,288.25	Facility		$501.19	$501.19	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $954.99	Professional		$478.63	$562.34	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $3,890.45	Facility		$1,071.52	$2,570.40	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,348.96	Professional		$575.44	$870.96	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,819.70	Facility		$616.60	$616.60	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,148.15	Professional		$457.09	$457.09	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,445.44	Professional		$741.31	$1,071.52	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,412.54	Professional		$1,230.27	$1,230.27	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $676.08	Facility		$309.03	$489.78	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,023.29	Professional		$346.74	$512.86	$1,023.29