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 $1,323.27 / $1,950.00 / $3,024.00	Facility		$1,323.27	$1,950.00	$3,024.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,440.00 / $2,738.85	Professional		$1,404.00	$1,440.00	$2,738.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,827.50 / $4,191.12	Facility		$1,950.00	$2,827.50	$4,191.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,851.88 / $4,290.00 / $5,411.60	Facility		$2,851.88	$4,290.00	$5,411.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $4,719.00 / $5,089.50	Professional		$975.00	$4,719.00	$5,089.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,535.00 / $4,551.10	Professional		$1,755.00	$2,535.00	$4,551.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.50 / $2,730.00 / $3,607.50	Professional		$2,359.50	$2,730.00	$3,607.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $3,413.48	Professional		$737.10	$1,053.00	$3,413.48