Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.32 / $671.32 / $1,594.67	Facility		$671.32	$671.32	$1,594.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.99 / $847.99 / $1,250.24	Professional		$655.99	$847.99	$1,250.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.63 / $1,979.08 / $5,188.02	Facility		$1,413.63	$1,979.08	$5,188.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.52 / $1,175.41 / $2,256.79	Professional		$735.52	$1,175.41	$2,256.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,166.46 / $1,201.58 / $2,615.21	Facility		$1,166.46	$1,201.58	$2,615.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.58 / $1,201.58 / $1,201.58	Professional		$1,201.58	$1,201.58	$1,201.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $911.00 / $1,249.89	Professional		$662.45	$911.00	$1,249.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,074.35 / $1,413.63 / $1,963.75	Professional		$1,074.35	$1,413.63	$1,963.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.71 / $2,451.23 / $2,667.51	Professional		$1,747.71	$2,451.23	$2,667.51
United Facility/Professional Professional Modifier Low / Median / High Price $470.16 / $705.25 / $1,163.54	Professional		$470.16	$705.25	$1,163.54