Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.46 / $2,343.50 / $3,253.80	Facility		$1,872.46	$2,343.50	$3,253.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.42 / $3,133.52 / $3,857.07	Professional		$2,138.42	$3,133.52	$3,857.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.47 / $1,931.60 / $3,461.40	Professional		$1,335.47	$1,931.60	$3,461.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,341.42 / $2,806.08 / $3,817.10	Facility		$2,341.42	$2,806.08	$3,817.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $1,549.35 / $1,549.35	Professional		$1,549.35	$1,549.35	$1,549.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,465.35 / $2,118.46 / $4,049.92	Professional		$1,465.35	$2,118.46	$4,049.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.67 / $2,354.67 / $2,354.67	Professional		$2,354.67	$2,354.67	$2,354.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.24 / $1,813.65 / $3,051.83	Professional		$1,190.24	$1,813.65	$3,051.83