Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.88 / $817.88 / $1,942.82	Facility		$817.88	$817.88	$1,942.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $896.09 / $1,147.90	Professional		$697.09	$896.09	$1,147.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,722.25 / $2,411.15 / $6,320.66	Facility		$1,722.25	$2,411.15	$6,320.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.43 / $1,432.02 / $2,749.48	Professional		$859.43	$1,432.02	$2,749.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.46 / $1,509.87 / $3,186.16	Facility		$1,326.46	$1,509.87	$3,186.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,463.91 / $1,463.91 / $1,463.91	Professional		$1,463.91	$1,463.91	$1,463.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $950.22 / $1,399.44	Professional		$650.69	$950.22	$1,399.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.91 / $1,722.25 / $2,392.63	Professional		$1,308.91	$1,722.25	$2,392.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.54 / $2,129.26 / $3,249.89	Professional		$1,784.54	$2,129.26	$3,249.89
United Facility/Professional Professional Modifier Low / Median / High Price $572.80 / $846.51 / $1,417.55	Professional		$572.80	$846.51	$1,417.55