Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.17 / $1,010.17 / $2,698.31	Facility		$1,010.17	$1,010.17	$2,698.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.17 / $1,291.20 / $1,458.30	Professional		$1,010.17	$1,291.20	$1,458.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.01 / $1,519.06 / $1,947.95	Facility		$397.01	$1,519.06	$1,947.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $1,519.06	Professional		$239.16	$239.16	$1,519.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $2,202.64 / $3,264.90	Facility		$1,519.06	$2,202.64	$3,264.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,974.78 / $3,341.93 / $4,684.33	Facility		$1,974.78	$3,341.93	$4,684.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,551.20 / $8,551.20 / $8,551.20	Professional		$8,551.20	$8,551.20	$8,551.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,670.97 / $2,126.67	Professional		$1,367.15	$1,670.97	$2,126.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.11 / $2,035.54 / $2,810.26	Professional		$1,762.11	$2,035.54	$2,810.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,367.15 / $1,367.15 / $1,367.15	Facility		$1,367.15	$1,367.15	$1,367.15
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $911.44 / $2,659.11	Professional		$638.01	$911.44	$2,659.11