Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.55 / $3,206.76 / $5,784.87	Facility		$1,213.55	$3,206.76	$5,784.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,577.05 / $2,112.98	Professional		$1,075.00	$1,577.05	$2,112.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,317.11 / $2,331.42 / $6,314.08	Facility		$1,317.11	$2,331.42	$6,314.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.87 / $2,007.36 / $3,994.27	Professional		$675.87	$2,007.36	$3,994.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $2,554.83 / $3,923.49	Facility		$1,824.88	$2,554.83	$3,923.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $2,189.86 / $2,372.34	Professional		$1,824.88	$2,189.86	$2,372.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,627.12 / $3,215.34 / $5,698.75	Facility		$1,627.12	$3,215.34	$5,698.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.39 / $1,656.94 / $5,695.52	Professional		$911.39	$1,656.94	$5,695.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $2,503.21 / $14,224.04	Professional		$1,824.88	$2,503.21	$14,224.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,092.67 / $3,092.67 / $3,092.67	Facility		$3,092.67	$3,092.67	$3,092.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.10 / $2,554.83 / $3,376.03	Professional		$2,208.10	$2,554.83	$3,376.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,376.76 / $1,376.76 / $2,281.10	Facility		$1,376.76	$1,376.76	$2,281.10
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,392.08 / $3,758.16	Professional		$766.45	$1,392.08	$3,758.16