Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.81 / $985.81 / $2,341.71	Facility		$985.81	$985.81	$2,341.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.92 / $1,107.78 / $1,563.09	Professional		$933.92	$1,107.78	$1,563.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,075.85 / $2,906.19 / $7,618.37	Facility		$2,075.85	$2,906.19	$7,618.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.63 / $1,726.04 / $3,314.00	Professional		$1,121.63	$1,726.04	$3,314.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,712.95 / $1,764.47 / $3,840.32	Facility		$1,712.95	$1,764.47	$3,840.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,764.47 / $1,764.47 / $1,764.47	Professional		$1,764.47	$1,764.47	$1,764.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $2,393.63	Professional		$975.01	$975.01	$2,393.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,577.65 / $2,075.85 / $3,016.00	Professional		$1,577.65	$2,075.85	$3,016.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,528.95 / $3,599.53 / $3,917.13	Professional		$3,528.95	$3,599.53	$3,917.13
United Facility/Professional Professional Modifier Low / Median / High Price $690.42 / $1,035.61 / $1,708.59	Professional		$690.42	$1,035.61	$1,708.59