Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $1,239.04 / $3,309.65	Facility		$1,239.04	$1,239.04	$3,309.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.04 / $1,583.74 / $1,788.69	Professional		$1,239.04	$1,583.74	$1,788.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $1,863.22 / $2,389.29	Facility		$436.80	$1,863.22	$2,389.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $1,863.22	Professional		$208.00	$208.00	$1,863.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,863.22 / $2,701.67 / $4,004.60	Facility		$1,863.22	$2,701.67	$4,004.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,783.57 / $4,099.08 / $5,853.58	Facility		$2,783.57	$4,099.08	$5,853.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $2,049.54 / $2,608.51	Professional		$1,676.90	$2,049.54	$2,608.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.34 / $2,496.71 / $3,446.96	Professional		$2,161.34	$2,496.71	$3,446.96
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $1,117.93 / $3,912.76	Professional		$782.55	$1,117.93	$3,912.76