Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.26 / $560.26 / $1,330.85	Facility		$560.26	$560.26	$1,330.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $727.35 / $1,077.65	Professional		$560.26	$727.35	$1,077.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.76 / $1,651.66 / $4,329.72	Facility		$1,179.76	$1,651.66	$4,329.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.42 / $980.95 / $1,883.42	Professional		$647.42	$980.95	$1,883.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.48 / $1,002.80 / $2,182.56	Facility		$1,001.48	$1,002.80	$2,182.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,002.80 / $1,002.80 / $1,002.80	Professional		$1,002.80	$1,002.80	$1,002.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,365.75	Professional		$537.44	$736.22	$1,365.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.62 / $1,179.76 / $1,639.02	Professional		$896.62	$1,179.76	$1,639.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.21 / $1,504.20 / $2,226.21	Professional		$1,299.21	$1,504.20	$2,226.21
United Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $588.57 / $971.04	Professional		$392.38	$588.57	$971.04