Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.89 / $710.89 / $1,688.66	Facility		$710.89	$710.89	$1,688.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.47 / $871.71 / $1,323.91	Professional		$673.47	$871.71	$1,323.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,496.95 / $2,095.73 / $5,493.81	Facility		$1,496.95	$2,095.73	$5,493.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.54 / $1,244.68 / $2,389.79	Professional		$804.54	$1,244.68	$2,389.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,235.20 / $1,272.41 / $2,769.36	Facility		$1,235.20	$1,272.41	$2,769.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,272.41 / $1,272.41 / $1,272.41	Professional		$1,272.41	$1,272.41	$1,272.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $831.10	Facility		$831.10	$831.10	$831.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $886.00 / $1,329.47	Professional		$606.70	$886.00	$1,329.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.68 / $1,496.95 / $2,181.00	Professional		$1,137.68	$1,496.95	$2,181.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.73 / $2,595.71 / $2,824.75	Professional		$1,850.73	$2,595.71	$2,824.75
United Facility/Professional Professional Modifier Low / Median / High Price $497.87 / $746.81 / $1,232.10	Professional		$497.87	$746.81	$1,232.10