Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.09 / $1,157.09 / $3,090.76	Facility		$1,157.09	$1,157.09	$3,090.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,513.80 / $1,670.40	Professional		$1,157.09	$1,513.80	$1,670.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.54 / $1,740.00 / $2,231.28	Facility		$963.54	$1,740.00	$2,231.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,740.00	Professional		$846.27	$846.27	$1,740.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $2,523.00 / $3,739.77	Facility		$1,740.00	$2,523.00	$3,739.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,262.00 / $3,828.00 / $5,365.61	Facility		$2,262.00	$3,828.00	$5,365.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,793.96 / $9,793.96 / $9,793.96	Professional		$9,793.96	$9,793.96	$9,793.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $1,914.00 / $2,436.00	Professional		$1,566.00	$1,914.00	$2,436.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.40 / $2,331.60 / $3,219.00	Professional		$2,018.40	$2,331.60	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,044.00 / $3,161.75	Professional		$730.80	$1,044.00	$3,161.75