Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.75 / $1,296.75 / $3,463.78	Facility		$1,296.75	$1,296.75	$3,463.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.75 / $1,657.50 / $1,872.00	Professional		$1,296.75	$1,657.50	$1,872.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $2,125.40 / $3,237.00	Facility		$1,462.50	$2,125.40	$3,237.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $2,983.50	Professional		$1,549.20	$1,549.20	$2,983.50
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 $2,913.22 / $4,290.00 / $6,126.19	Facility		$2,913.22	$4,290.00	$6,126.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,145.00 / $2,730.00	Professional		$1,755.00	$2,145.00	$2,730.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,262.00 / $2,613.00 / $3,607.50	Professional		$2,262.00	$2,613.00	$3,607.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $3,413.48	Professional		$819.00	$1,170.00	$3,413.48