Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.51 / $1,261.51 / $3,369.64	Facility		$1,261.51	$1,261.51	$3,369.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.51 / $1,650.39 / $1,821.12	Professional		$1,261.51	$1,650.39	$1,821.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,422.75 / $2,059.98 / $3,149.02	Facility		$1,422.75	$2,059.98	$3,149.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.35 / $1,549.20 / $2,883.44	Professional		$1,239.35	$1,549.20	$2,883.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.00 / $2,750.65 / $4,077.22	Facility		$1,897.00	$2,750.65	$4,077.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,466.10 / $4,173.39 / $5,849.41	Facility		$2,466.10	$4,173.39	$5,849.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,678.32 / $10,678.32 / $10,678.32	Professional		$10,678.32	$10,678.32	$10,678.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.30 / $2,466.10 / $14,786.99	Professional		$1,707.30	$2,466.10	$14,786.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.52 / $2,541.98 / $3,509.45	Professional		$2,200.52	$2,541.98	$3,509.45
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $3,320.70	Professional		$796.74	$1,138.20	$3,320.70