Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.65 / $5,063.00 / $7,391.00	Facility		$1,849.65	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,553.14 / $2,939.95	Professional		$1,213.70	$1,553.14	$2,939.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $2,814.54 / $5,240.56	Facility		$1,132.49	$2,814.54	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.00 / $2,002.85 / $3,550.81	Professional		$1,322.00	$2,002.85	$3,550.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,038.14 / $2,038.14 / $2,038.14	Facility		$2,038.14	$2,038.14	$2,038.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.31 / $1,350.00 / $1,612.82	Facility		$1,153.31	$1,350.00	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.28 / $2,133.84 / $3,681.00	Professional		$1,394.28	$2,133.84	$3,681.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.15 / $2,122.02 / $3,506.74	Professional		$1,556.15	$2,122.02	$3,506.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,209.23 / $2,273.75 / $2,617.16	Professional		$2,209.23	$2,273.75	$2,617.16
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 $1,249.39 / $1,849.87 / $3,232.12	Professional		$1,249.39	$1,849.87	$3,232.12