Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.23 / $1,292.23 / $3,451.73	Facility		$1,292.23	$1,292.23	$3,451.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.23 / $1,690.59 / $1,865.48	Professional		$1,292.23	$1,690.59	$1,865.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.49 / $2,110.17 / $2,526.17	Facility		$1,265.49	$2,110.17	$2,526.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,943.21	Professional		$1,148.40	$1,148.40	$1,943.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $2,817.65 / $4,176.52	Facility		$1,943.21	$2,817.65	$4,176.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,526.17 / $4,275.06 / $5,991.51	Facility		$2,526.17	$4,275.06	$5,991.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,937.37 / $10,937.37 / $10,937.37	Professional		$10,937.37	$10,937.37	$10,937.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $2,137.53 / $2,720.49	Professional		$1,748.89	$2,137.53	$2,720.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.12 / $2,603.90 / $3,594.94	Professional		$2,254.12	$2,603.90	$3,594.94
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $1,165.93 / $4,080.74	Professional		$816.15	$1,165.93	$4,080.74