Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.99 / $526.99 / $1,251.82	Facility		$526.99	$526.99	$1,251.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.26 / $626.78 / $739.64	Professional		$499.26	$626.78	$739.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.71 / $1,553.59 / $4,072.64	Facility		$1,109.71	$1,553.59	$4,072.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.29 / $983.30 / $2,091.54	Professional		$659.29	$983.30	$2,091.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.69 / $943.25 / $2,052.96	Facility		$915.69	$943.25	$2,052.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $943.25 / $943.25 / $943.25	Professional		$943.25	$943.25	$943.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $1,279.50	Professional		$449.88	$616.27	$1,279.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.38 / $1,109.71 / $1,655.00	Professional		$843.38	$1,109.71	$1,655.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.73 / $1,371.96 / $2,009.55	Professional		$1,103.73	$1,371.96	$2,009.55
United Facility/Professional Professional Modifier Low / Median / High Price $369.08 / $553.62 / $1,013.79	Professional		$369.08	$553.62	$1,013.79