Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.12 / $1,022.12 / $2,730.21	Facility		$1,022.12	$1,022.12	$2,730.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.12 / $1,337.21 / $1,475.54	Professional		$1,022.12	$1,337.21	$1,475.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.27 / $1,537.02 / $1,970.98	Facility		$936.27	$1,537.02	$1,970.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $545.67 / $1,537.02	Professional		$514.79	$545.67	$1,537.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,151.83 / $3,012.56 / $5,533.28	Facility		$2,151.83	$3,012.56	$5,533.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,998.12 / $3,381.44 / $4,739.74	Facility		$1,998.12	$3,381.44	$4,739.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,650.58 / $8,650.58 / $8,650.58	Professional		$8,650.58	$8,650.58	$8,650.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,690.72 / $2,151.83	Professional		$1,383.32	$1,690.72	$2,151.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.94 / $2,059.61 / $2,843.49	Professional		$1,782.94	$2,059.61	$2,843.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,921.28 / $1,921.28 / $1,921.28	Facility		$1,921.28	$1,921.28	$1,921.28
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $922.21 / $2,690.55	Professional		$645.54	$922.21	$2,690.55