Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.95 / $1,349.95 / $3,605.89	Facility		$1,349.95	$1,349.95	$3,605.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.95 / $1,725.50 / $1,948.80	Professional		$1,349.95	$1,725.50	$1,948.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.40 / $2,030.00 / $2,603.15	Facility		$638.40	$2,030.00	$2,603.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $2,030.00	Professional		$304.00	$304.00	$2,030.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,943.50 / $4,363.07	Facility		$2,030.00	$2,943.50	$4,363.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,032.74 / $4,466.00 / $6,259.02	Facility		$3,032.74	$4,466.00	$6,259.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $4,912.60 / $5,298.30	Professional		$1,015.00	$4,912.60	$5,298.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,639.00 / $4,738.34	Professional		$1,827.00	$2,639.00	$4,738.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.30 / $2,842.00 / $3,755.50	Professional		$2,456.30	$2,842.00	$3,755.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.50 / $2,537.50 / $2,537.50	Facility		$2,537.50	$2,537.50	$2,537.50
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $3,553.52	Professional		$852.60	$1,218.00	$3,553.52