Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.08 / $1,167.08 / $3,117.41	Facility		$1,167.08	$1,167.08	$3,117.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.08 / $1,491.75 / $1,684.80	Professional		$1,167.08	$1,491.75	$1,684.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.59 / $1,755.00 / $2,250.51	Facility		$888.59	$1,755.00	$2,250.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $1,755.00	Professional		$423.14	$423.14	$1,755.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,544.75 / $3,772.00	Facility		$1,755.00	$2,544.75	$3,772.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,621.90 / $3,861.00 / $5,514.11	Facility		$2,621.90	$3,861.00	$5,514.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,579.50 / $1,930.50 / $2,457.00	Professional		$1,579.50	$1,930.50	$2,457.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,035.80 / $2,351.69 / $3,246.75	Professional		$2,035.80	$2,351.69	$3,246.75
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $3,072.13	Professional		$737.10	$1,053.00	$3,072.13