Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $5,119.72	Facility		$1,707.11	$1,707.11	$5,119.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,707.11 / $1,707.11	Professional		$1,645.41	$1,707.11	$1,707.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $1,829.92 / $3,817.97	Facility		$1,040.32	$1,829.92	$3,817.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,568.52 / $1,655.66 / $1,713.97	Professional		$1,568.52	$1,655.66	$1,713.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,799.67 / $3,509.45	Facility		$1,748.25	$1,799.67	$3,509.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,485.09 / $2,711.00 / $4,200.00	Professional		$1,485.09	$2,711.00	$4,200.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.03 / $2,591.44 / $2,828.20	Professional		$1,851.03	$2,591.44	$2,828.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,056.76	Professional		$1,713.97	$1,713.97	$2,056.76