Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.90 / $680.90 / $1,928.75	Facility		$680.90	$680.90	$1,928.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.90 / $966.88 / $1,097.94	Professional		$680.90	$966.88	$1,097.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,634.53 / $2,288.34 / $5,998.73	Facility		$1,634.53	$2,288.34	$5,998.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.23 / $1,359.08 / $2,609.42	Professional		$861.23	$1,359.08	$2,609.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,227.85 / $1,637.14 / $3,023.88	Facility		$1,227.85	$1,637.14	$3,023.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,389.35 / $1,389.35 / $1,389.35	Professional		$1,389.35	$1,389.35	$1,389.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $1,930.13	Professional		$658.92	$902.63	$1,930.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.24 / $1,634.53 / $2,270.90	Professional		$1,242.24	$1,634.53	$2,270.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.44 / $2,020.81 / $3,023.88	Professional		$1,062.44	$2,020.81	$3,023.88
United Facility/Professional Professional Modifier Low / Median / High Price $543.63 / $815.45 / $1,359.08	Professional		$543.63	$815.45	$1,359.08