Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.34 / $1,067.39 / $1,541.10	Facility		$449.34	$1,067.39	$1,541.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.02 / $512.59 / $664.38	Professional		$399.02	$512.59	$664.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.20 / $1,324.68 / $3,472.55	Facility		$946.20	$1,324.68	$3,472.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $786.75 / $1,510.56	Professional		$481.00	$786.75	$1,510.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.33 / $804.27 / $1,750.47	Facility		$672.33	$804.27	$1,750.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $804.27 / $804.27 / $804.27	Professional		$804.27	$804.27	$804.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $916.88	Professional		$360.80	$494.25	$916.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.11 / $946.20 / $1,314.68	Professional		$719.11	$946.20	$1,314.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.54 / $1,640.70 / $1,785.47	Professional		$1,608.54	$1,640.70	$1,785.47
United Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $452.35 / $778.80	Professional		$314.70	$452.35	$778.80