Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.71 / $610.71 / $1,729.92	Facility		$610.71	$610.71	$1,729.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $862.49 / $1,066.59	Professional		$610.71	$862.49	$1,066.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.03 / $2,052.44 / $5,380.33	Facility		$1,466.03	$2,052.44	$5,380.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.59 / $1,218.98 / $2,340.44	Professional		$781.59	$1,218.98	$2,340.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.13 / $1,453.26 / $2,712.16	Facility		$1,246.13	$1,453.26	$2,712.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,246.13 / $1,246.13 / $1,246.13	Professional		$1,246.13	$1,246.13	$1,246.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,082.23 / $1,845.00	Professional		$807.37	$1,082.23	$1,845.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.18 / $1,466.03 / $2,508.09	Professional		$1,114.18	$1,466.03	$2,508.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $952.92 / $1,812.49 / $2,712.16	Professional		$952.92	$1,812.49	$2,712.16
United Facility/Professional Professional Modifier Low / Median / High Price $621.89 / $731.39 / $1,631.67	Professional		$621.89	$731.39	$1,631.67