Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.72 / $4,908.00 / $7,421.00	Facility		$1,579.72	$4,908.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,495.72 / $3,258.10	Professional		$1,181.57	$1,495.72	$3,258.10
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 $1,226.44 / $1,889.95 / $3,652.02	Professional		$1,226.44	$1,889.95	$3,652.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,282.42 / $2,928.30 / $4,053.26	Facility		$2,282.42	$2,928.30	$4,053.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,614.43 / $1,653.56	Facility		$1,000.00	$1,614.43	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.23 / $1,974.64 / $3,545.74	Professional		$1,189.23	$1,974.64	$3,545.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.02 / $2,121.84 / $3,506.45	Professional		$1,556.02	$2,121.84	$3,506.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.00 / $2,501.00 / $2,546.19	Professional		$2,501.00	$2,501.00	$2,546.19
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 $1,115.64 / $1,673.98 / $3,210.45	Professional		$1,115.64	$1,673.98	$3,210.45