Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.21 / $519.21 / $1,233.33	Facility		$519.21	$519.21	$1,233.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.89 / $583.45 / $868.54	Professional		$491.89	$583.45	$868.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.33 / $1,530.68 / $4,012.56	Facility		$1,093.33	$1,530.68	$4,012.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.12 / $909.08 / $1,745.43	Professional		$604.12	$909.08	$1,745.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $902.18 / $929.34 / $2,022.68	Facility		$902.18	$929.34	$2,022.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $929.34 / $929.34 / $929.34	Professional		$929.34	$929.34	$929.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $647.10 / $961.77	Professional		$443.12	$647.10	$961.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.94 / $1,093.33 / $1,518.72	Professional		$830.94	$1,093.33	$1,518.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.08 / $1,410.41 / $2,063.14	Professional		$1,082.08	$1,410.41	$2,063.14
United Facility/Professional Professional Modifier Low / Median / High Price $363.63 / $522.77 / $788.44	Professional		$363.63	$522.77	$788.44