Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.11 / $1,067.11 / $1,067.11	Facility		$1,067.11	$1,067.11	$1,067.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,067.11 / $1,227.19	Professional		$1,028.55	$1,067.11	$1,227.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.69 / $1,817.10 / $4,167.97	Facility		$1,135.69	$1,817.10	$4,167.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.40 / $1,071.41 / $1,221.41	Professional		$773.40	$1,071.41	$1,221.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,124.98 / $1,574.97	Facility		$1,092.83	$1,124.98	$1,574.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $1,054.58 / $1,256.77	Professional		$581.53	$1,054.58	$1,256.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $492.90 / $594.00	Professional		$27.40	$492.90	$594.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,124.98 / $1,371.40	Professional		$1,071.41	$1,124.98	$1,371.40