Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.75 / $3,592.00 / $6,181.50	Facility		$1,296.75	$3,592.00	$6,181.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,657.50 / $1,872.00	Professional		$1,170.00	$1,657.50	$1,872.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.01 / $1,950.00 / $2,500.57	Facility		$397.01	$1,950.00	$2,500.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $239.16 / $1,755.00	Professional		$191.33	$239.16	$1,755.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,827.50 / $4,191.12	Facility		$1,950.00	$2,827.50	$4,191.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.77 / $3,067.35 / $4,290.00	Facility		$120.77	$3,067.35	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $10,976.34 / $10,976.34	Professional		$1,560.00	$10,976.34	$10,976.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,535.00 / $15,197.71	Professional		$1,755.00	$2,535.00	$15,197.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,613.00 / $3,607.50	Professional		$1,950.00	$2,613.00	$3,607.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $3,413.48	Professional		$819.00	$1,170.00	$3,413.48