Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.41 / $5,045.00 / $6,915.00	Facility		$1,729.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,233.02 / $3,243.50	Professional		$1,021.00	$1,233.02	$3,243.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.79 / $1,630.94 / $2,927.26	Professional		$1,124.79	$1,630.94	$2,927.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,987.07 / $2,369.31 / $3,222.98	Facility		$1,987.07	$2,369.31	$3,222.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,285.67 / $1,653.56	Facility		$1,000.00	$1,285.67	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.06 / $1,819.23 / $2,956.47	Professional		$1,200.06	$1,819.23	$2,956.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.27 / $1,802.02 / $4,192.06	Professional		$1,237.27	$1,802.02	$4,192.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,731.09 / $1,946.06 / $1,991.32	Professional		$1,731.09	$1,946.06	$1,991.32
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.83 / $1,572.21 / $2,556.17	Professional		$1,005.83	$1,572.21	$2,556.17