Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.79 / $918.79 / $2,602.58	Facility		$918.79	$918.79	$2,602.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.79 / $1,067.36 / $1,470.06	Professional		$918.79	$1,067.36	$1,470.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,205.58 / $3,087.81 / $8,094.48	Facility		$2,205.58	$3,087.81	$8,094.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.78 / $1,833.90 / $3,521.09	Professional		$1,080.78	$1,833.90	$3,521.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,596.16 / $1,874.74 / $4,080.32	Facility		$1,596.16	$1,874.74	$4,080.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,874.74 / $1,874.74 / $1,874.74	Professional		$1,874.74	$1,874.74	$1,874.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Facility		$1,316.65	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,288.34 / $2,359.50	Professional		$961.15	$1,288.34	$2,359.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.24 / $2,205.58 / $3,325.82	Professional		$1,676.24	$2,205.58	$3,325.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.63 / $2,726.82 / $4,080.32	Professional		$1,433.63	$2,726.82	$4,080.32
United Facility/Professional Professional Modifier Low / Median / High Price $738.84 / $1,100.33 / $1,815.38	Professional		$738.84	$1,100.33	$1,815.38