Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $868.07 / $2,318.71	Facility		$868.07	$868.07	$2,318.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.07 / $1,135.67 / $1,253.16	Professional		$868.07	$1,135.67	$1,253.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.86 / $1,305.36 / $1,673.93	Facility		$422.86	$1,305.36	$1,673.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $213.44 / $1,305.36	Professional		$201.36	$213.44	$1,305.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,892.79 / $2,805.63	Facility		$1,305.36	$1,892.79	$2,805.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,696.98 / $2,871.81 / $4,025.00	Facility		$1,696.98	$2,871.81	$4,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,347.45 / $7,347.45 / $7,347.45	Professional		$7,347.45	$7,347.45	$7,347.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,435.91 / $1,827.52	Professional		$1,305.36	$1,435.91	$1,827.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,749.20 / $2,414.92	Professional		$1,305.36	$1,749.20	$2,414.92
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $2,285.05	Professional		$548.26	$783.22	$2,285.05