Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.63 / $2,886.49 / $5,151.25	Facility		$1,080.63	$2,886.49	$5,151.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,300.00 / $1,560.00	Professional		$975.00	$1,300.00	$1,560.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.26 / $1,795.63 / $5,622.50	Facility		$1,058.26	$1,795.63	$5,622.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $650.00 / $2,015.00	Professional		$487.50	$650.00	$2,015.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.81 / $2,275.00 / $3,185.00	Facility		$1,222.81	$2,275.00	$3,185.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.25 / $3,575.00 / $4,509.32	Facility		$861.25	$3,575.00	$4,509.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.06 / $2,183.07 / $4,860.64	Professional		$810.06	$2,183.07	$4,860.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $2,112.50 / $12,665.63	Professional		$1,625.00	$2,112.50	$12,665.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.25 / $2,275.00 / $3,006.25	Professional		$1,966.25	$2,275.00	$3,006.25
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $2,356.25	Professional		$682.50	$975.00	$2,356.25