Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.53 / $1,941.53 / $5,378.04	Facility		$1,941.53	$1,941.53	$5,378.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.53 / $2,540.05 / $2,919.60	Professional		$1,941.53	$2,540.05	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.35 / $2,919.60 / $3,743.92	Facility		$1,901.35	$2,919.60	$3,743.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $3,620.30	Professional		$1,167.83	$1,167.83	$3,620.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $5,075.00 / $7,522.53	Facility		$3,500.00	$5,075.00	$7,522.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,744.35 / $4,744.35 / $5,144.55	Facility		$4,744.35	$4,744.35	$5,144.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $3,850.00 / $4,900.00	Professional		$3,150.00	$3,850.00	$4,900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $5,950.00 / $6,475.00	Professional		$3,500.00	$5,950.00	$6,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $6,126.75	Professional		$1,226.23	$1,751.76	$6,126.75