Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.28 / $1,619.28 / $4,325.29	Facility		$1,619.28	$1,619.28	$4,325.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.28 / $2,069.75 / $2,337.60	Professional		$1,619.28	$2,069.75	$2,337.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.81 / $2,435.00 / $3,122.50	Facility		$254.81	$2,435.00	$3,122.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $974.00 / $3,019.40	Professional		$121.34	$974.00	$3,019.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,435.00 / $3,530.75 / $5,233.52	Facility		$2,435.00	$3,530.75	$5,233.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,637.79 / $5,357.00 / $7,649.78	Facility		$3,637.79	$5,357.00	$7,649.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,191.50 / $2,678.50 / $3,409.00	Professional		$2,191.50	$2,678.50	$3,409.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,824.60 / $3,262.90 / $4,504.75	Professional		$2,824.60	$3,262.90	$4,504.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,461.00 / $4,424.64	Professional		$1,022.70	$1,461.00	$4,424.64