Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.25 / $1,762.25 / $4,707.18	Facility		$1,762.25	$1,762.25	$4,707.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.25 / $2,252.50 / $2,544.00	Professional		$1,762.25	$2,252.50	$2,544.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $2,650.00 / $3,398.21	Facility		$436.80	$2,650.00	$3,398.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $2,650.00	Professional		$208.00	$208.00	$2,650.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $3,842.50 / $5,695.62	Facility		$2,650.00	$3,842.50	$5,695.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,958.99 / $5,830.00 / $8,325.66	Facility		$3,958.99	$5,830.00	$8,325.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,385.00 / $2,915.00 / $3,710.00	Professional		$2,385.00	$2,915.00	$3,710.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,074.00 / $3,551.00 / $4,902.50	Professional		$3,074.00	$3,551.00	$4,902.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,590.00 / $5,457.41	Professional		$1,113.00	$1,590.00	$5,457.41